Individual
MR. GREGORY V. LITVINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
111 170TH ST SE, BOTHELL, WA 98012-4929
(425) 280-7967
Mailing address
111 170TH ST SE, BOTHELL, WA 98012-4929
(425) 280-7967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60065268
WA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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