Individual
BORYS B KAGRAMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
19201 108TH AVE SE, RENTON, WA 98055-7379
(253) 859-6441
(253) 859-9437
Mailing address
19201 108TH AVE SE, RENTON, WA 98055-7379
(253) 859-6441
(253) 859-9437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60288002
WA
Other
Enumeration date
02/16/2013
Last updated
02/16/2013
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