Individual
CLAY WESLEY PETROVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2107 162ND LN, LONG BEACH, WA 98631-6621
(360) 619-2316
Mailing address
PO BOX 1330, OCEAN PARK, WA 98640-1330
(360) 619-2316
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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