KANYAKANIT BUPPAWONG DEPAZ

BELLEVUE, WA
NPI1093002172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: WA  MA 00024931)
Enumeration Date2011-07-08
Last Update Date2011-07-08
Business Address
Mrs. KANYAKANIT BUPPAWONG DEPAZ LMP
14850 LAKE HILLS BLVD # 4
BELLEVUE, WA 98007-5800
Phone number: 425-558-9441
Mailing Address
Mrs. KANYAKANIT BUPPAWONG DEPAZ LMP
308 146TH PL NE
BELLEVUE, WA 98007-4941
Phone number: 206-235-5557