Individual
EVERETT MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1508 BROADWAY ST, VANCOUVER, WA 98663-3434
(360) 635-3477
Mailing address
10910 NE 103RD ST, VANCOUVER, WA 98662-3325
(360) 999-8496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61623166
WA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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