Mr. Leonid M Potryasov, MA60290799
Mr. Leonid M Potryasov, MA60290799 is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2013
Practice location Address checks out
11300 NE Fourth Plain BlvdVancouver, WA 98662-5767
Phone: (360) 931-8054
Fax: (360) 882-8088
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 602329198 (WA) |
|---|
Record details
| NPI number | 1043550866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA60290799 |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2013 |
| Last updated in NPPES | February 15, 2013 |
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