Provider Demographics
NPI:1588481675
Name:M BUREN, JAMILA MUSZETTE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:JAMILA
Middle Name:MUSZETTE
Last Name:M BUREN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 RAINER AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-9997
Mailing Address - Country:US
Mailing Address - Phone:206-902-8414
Mailing Address - Fax:
Practice Address - Street 1:4708 RAINER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-9997
Practice Address - Country:US
Practice Address - Phone:206-902-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWDL46S5C843B225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist