Emerald Vine Pllc

NPI #1104066836 in Seattle, Washington

Provider Information

NPI Number
1104066836
Entity Type
Organization
Organization Name
Emerald Vine Pllc
Primary Specialty
Mechanotherapist
Enumeration Date
Feb 20, 2009
Last Updated
Feb 20, 2009

Practice Location

Address
142 NW CANAL ST
ZIP Code
98107-4933
Phone
(206) 347-0777

Authorized Official

Name
MS. SHAINA MARIKO AKIDAU, LMP
Title
OWNER
Phone
(206) 347-0777

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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