Individual
ALEX GWOZDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
943 N 89TH ST, SEATTLE, WA 98103-3905
(206) 390-7465
Mailing address
1902 N 80TH ST, SEATTLE, WA 98103-4504
(206) 390-7465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60214970
WA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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