Individual
EDUARDO BLAKE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
134 KEENE RD, RICHLAND, WA 99352-8683
(509) 293-5895
Mailing address
134 KEENE RD, RICHLAND, WA 99352-8683
(509) 293-5895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61331898
WA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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