Jesus O Dela Torre Hernandez, LMP
NPI #1194719906 in Newcastle, Washington
Provider Information
- NPI Number
- 1194719906
- Entity Type
- Individual
- Name
- Jesus O Dela Torre Hernandez, LMP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Sep 7, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6985 COAL CREEK PKWY SE
- City
- Newcastle
- State
- Washington
- ZIP Code
- 98059-3136
- Phone
- (425) 378-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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