Individual
ALEXANDER MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
5401 LEARY AVE NW, SEATTLE, WA 98107-4070
(206) 623-0373
Mailing address
5401 LEARY AVE NW, SEATTLE, WA 98107-4070
(206) 623-0373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60058206
WA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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