LEONID M POTRYASOV

VANCOUVER, WA
NPI1043550866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  602329198)
Enumeration Date2013-02-15
Last Update Date2013-02-15
Business Address
Mr. LEONID M POTRYASOV MA60290799
11300 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662-5767
Phone number: 360-931-8054
Mailing Address
Mr. LEONID M POTRYASOV MA60290799
11300 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662-5767
Phone number: 360-931-8054