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NPI Code Detail

MEDICARE: OMAR JURADO-WOELZ LMP

MEDICARE: OMAR JURADO-WOELZ LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA60320052WA

General Provider Information

NPI Number : 1972927887
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR JURADO-WOELZ LMP
Provider Business Mailing Address
First Line : 5444 17TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-1540
Country : US
Telephone Number : 206-818-1474
Fax Number :
Provider Business Practice Location Address
First Line : 5236 CALIFORNIA AVE SW STE D
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1283
Country : US
Telephone Number : 206-331-3999
Fax Number : 206-388-3226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2014
Last Update Date : 02/12/2014

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Directions to “ OMAR JURADO-WOELZ LMP” Practice Location

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