Individual
GRACIELLA JESSICA RAAGAS MACOLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 NW 95TH ST, SEATTLE, WA 98117-2207
(206) 356-1532
Mailing address
2121 6TH AVE APT N1812, SEATTLE, WA 98121-2857
(206) 571-1794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61300061
WA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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