Individual
MS. ANTOINETTE MARIE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
235 WESTLAKE AVE N, SEATTLE, WA 98109-5217
(206) 749-5253
Mailing address
PO BOX 1591, MILTON, WA 98354-1591
(253) 227-2620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022136
WA
Other
Enumeration date
05/23/2007
Last updated
11/14/2007
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