Individual
ANDREJ JAMES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
4537 S G ST, TACOMA, WA 98418-6642
(253) 228-7457
Mailing address
4537 S G ST, TACOMA, WA 98418-6642
(253) 228-7457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60275805
WA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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