Mariam Gedevanishvili
NPI #1083778104 in Kent, Washington
Provider Information
- NPI Number
- 1083778104
- Entity Type
- Individual
- Name
- Mariam Gedevanishvili
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Jun 11, 2012
Practice Location
- Address
- 10700 SE 208TH ST STE 207
- City
- Kent
- State
- Washington
- ZIP Code
- 98031-5545
- Phone
- (206) 755-1758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Massage Therapist |
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