Organization
BOWS-R-BOWTIES
Active
Organization
BOWS-R-BOWTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOA PHAM (OWNER)
(512) 796-4103
Entity
Organization
Contact information
Practice address
646 STRANDER BLVD, TUKWILA, WA 98188-2923
(425) 264-5960
(425) 988-8219
Mailing address
646 STRANDER BLVD, TUKWILA, WA 98188-2923
(425) 264-5960
(425) 988-8219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-60711305
WA
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
12/12/2016
Last updated
02/15/2017
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