Individual
FUMING GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20124 BALLINGER WAY NE STE A-02, SHORELINE, WA 98155-1117
(206) 366-1111
Mailing address
911 N 130TH ST, SEATTLE, WA 98133-7502
(206) 445-4918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61414289
WA
Other
Enumeration date
06/28/2024
Last updated
07/03/2024
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