Itachi Hernandez, LMP

NPI #1548750359 in Burlington, Washington

Provider Information

NPI Number: 1548750359
Entity Type: Individual
Name: Itachi Hernandez, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 16, 2018
Last Updated: May 16, 2018

Practice Location

Address: 830 E FAIRHAVEN AVE
City: Burlington
State: Washington
ZIP Code: 98233-1917
Phone: (360) 757-6369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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