Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 60140066 | WA |
NPI | 1003132382 |
---|---|
Provider Name | Mrs. Joelle Patricia Sazama |
First Address | Seattle, WA 98117-3481 |
Second Address | Seattle, WA 98117-3481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 12/04/2010 |