Individual
MS. GWENDOLYN KAYE BANCHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1411 150TH AVE SE, BELLEVUE, WA 98007-5812
(206) 999-9290
Mailing address
15600 NE 8TH ST STE B1, 313, BELLEVUE, WA 98008-3958
(206) 999-9290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60367962
WA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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