Individual
MR. DOMINIC MANCHONG QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
612A 8TH AVE SOUTH, SEATTLE, WA 98104
(206) 233-0818
(206) 292-9340
Mailing address
25922 158TH AVE SE, COVINGTON, WA 98042-8289
(253) 850-3020
(253) 850-5820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006476
WA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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