Individual
MRS. RYONG BAE OLIVETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
22727 HIGHWAY 99, SUITE 205, EDMONDS, WA 98026-8381
(425) 771-3164
Mailing address
5524 ORCA DR NE, TACOMA, WA 98422-1999
(253) 568-2435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010027
WA
Other
Enumeration date
03/18/2007
Last updated
07/09/2007
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