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Individual

BLISS AMELIA RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
33650 6TH AVE S, SUITE. 100, FEDERAL WAY, WA 98003-6754
(253) 942-3303
(253) 815-8805
Mailing address
33650 6TH AVE S, SUITE. 100, FEDERAL WAY, WA 98003-6754
(253) 942-3303
(253) 815-8805

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60336665
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 60336665
MASSAGE PRACTITIONER
WA
Enumeration date
08/13/2013
Last updated
08/13/2013
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