Individual
JUSTIN JESS MAGLALANG TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17230 40TH AVE S, SEATAC, WA 98188-3613
(206) 859-7751
Mailing address
17230 40TH AVE S, SEATAC, WA 98188-3613
(206) 859-7751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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