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Individual

CHANGLONG SU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12505 NE BEL RED RD STE 188, BELLEVUE, WA 98005-2510
(425) 687-2707
(206) 309-9063
Mailing address
17631 115TH PL SE, RENTON, WA 98055-5236

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61012197
WA

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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