Individual
BENJAMIN M MANYUKHIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2700 NE ANDRESEN RD STE D22A, VANCOUVER, WA 98661-7347
(360) 635-3098
(360) 326-1569
Mailing address
PO BOX 820503, VANCOUVER, WA 98682-0011
(360) 635-3098
(360) 699-9262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
13755
OR
225700000X
Massage Therapist
Primary
MA 60026405
WA
Other
Enumeration date
09/16/2009
Last updated
11/13/2024
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