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Individual

PATRICK FLOWIN KENDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
Mailing address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA8552
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA8552
MASSAGE PRACTIONER
WA
Enumeration date
11/29/2007
Last updated
11/29/2007
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