Jutta Fonseca, MA61091263
Jutta Fonseca, MA61091263 is a Massage Therapist in Olympia, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
8604 Pacific Ave SEOlympia, WA 98513-2008
Phone: (253) 678-0598
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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 MA61091263 (WA) |
|---|
Record details
| NPI number | 1801407002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA61091263 |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2020 |
| Last updated in NPPES | August 11, 2020 |
| Certification date | August 11, 2020 |
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