Individual
EMIKO N/A NAKAMURA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
800 164TH ST SE STE O, MILL CREEK, WA 98012-6301
(425) 737-5343
Mailing address
2129 MALTBY RD UNIT D107, BOTHELL, WA 98021-7460
(425) 215-5686
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006215
WA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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