Individual
DEMETRIO ARSENIO JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
21009 76TH AVE W, EDMONDS, WA 98026-7126
(425) 670-2910
(425) 778-1872
Mailing address
22323 58TH AVE W, MOUNTLAKE TERRACE, WA 98043-3825
(425) 673-9874
(425) 778-1872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009412
WA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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