Individual
ALYSSA MARIE BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 S 182ND ST, SEATAC, WA 98188-4554
(206) 552-1312
Mailing address
4004 S 182ND ST, SEATAC, WA 98188-4554
(206) 552-1312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61081075
WA
Other
Enumeration date
08/31/2020
Last updated
02/12/2024
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