Individual
RYAN POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.AC.O.M., E.A.M.P.
Contact information
Practice address
822 NE 125TH ST, SEATTLE, WA 98125-3923
(516) 410-4216
Mailing address
822 NE 125TH ST, SEATTLE, WA 98125-3923
(516) 410-4216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60625379
WA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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