Most Relevant Information
Provider Data
| NPI Number: | 1003672098 |
| Provider Name: | MARIAMA BANDEH KOONS |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61216772 |
Most Important Dates
| Enumeration Date: | 02/27/2024 |
| Last Updated: | 02/27/2024 |
Provider Practice Location
420 5TH AVE S STE 207
EDMONDS
WA
980203632
Practice Location Phone/Fax
| Phone: | 2065506807 |
| Fax: |
Provider Mailing Location
211 NE 174TH ST
SHORELINE
WA
981554933
Provider Mailing Phone/Fax
| Phone: | 2065506807 |
| Fax: |