MAKSIM VLADIMIR SUKHAREV

MOUNTLAKE TERRACE, WA
NPI1154871259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WA  MA 60584369)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
MAKSIM VLADIMIR SUKHAREV A.A.,L.M.T.
6808 220TH ST SW STE 203
MOUNTLAKE TERRACE, WA 98043-2187
Phone number: 425-776-1056
Mailing Address
MAKSIM VLADIMIR SUKHAREV A.A.,L.M.T.
8757 46TH PL W
MUKILTEO, WA 98275-3403
Phone number: 425-563-8965
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