Individual
AMBER JOANNA WOGOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3215 W LYNN ST, SEATTLE, WA 98199-3944
(206) 915-7243
Mailing address
455 REITEN RD, KENT, WA 98030-6028
(206) 915-7243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00020386
WA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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