Ivan Pokazanyev
Ivan Pokazanyev is a Massage Therapist in Shoreline, Washington. Licensed in Washington. Registered with an NPI since 2017.
- Licensed in
- WA
- In the registry since
- 2017
Practice location Address checks out
1562 NE 177th St Apt 105Shoreline, WA 98155-5287
Phone: (206) 306-5407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MA 60714834 (WA) |
|---|
Record details
| NPI number | 1699200444 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 28, 2017 |
| Last updated in NPPES | April 28, 2017 |
| Mailing address | 1562 Ne 177th St Apt 105, Shoreline, WA 98155-5287 |
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