Individual provider · Type 1 NPI
Vladimir Ivanovich Cernov, MASSAGE PRACTITIONER
Specialist · Tacoma, WA
NPI number
1689974990
Active
Practice location
3815 N Pearl St, None
Tacoma, WA 98407-2619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA 00025393 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1689974990
Vladimir Ivanovich Cernov, MASSAGE PRACTITIONER's National Provider Identifier is 1689974990, issued on Nov 2, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Nov 2, 2010.