Individual
ELIZABETH BONG YOUNGJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5236 CALIFORNIA AVE SW STE D, SEATTLE, WA 98136-1283
(206) 331-3999
Mailing address
1648 S 310TH ST STE 2, FEDERAL WAY, WA 98003-4954
(253) 304-6704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000474005
—
WA
Enumeration date
01/02/2018
Last updated
01/02/2018
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