Individual
GINA MARIE LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2315 SW ROXBURY ST, SEATTLE, WA 98106-2647
(804) 836-2961
Mailing address
2315 SW ROXBURY ST, SEATTLE, WA 98106-2647
(804) 836-2961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60327299
WA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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