Provider Demographics
NPI:1699958561
Name:FLOJO, ANDREW M (LMP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:FLOJO
Suffix:
Gender:M
Credentials:LMP
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Other - First Name:
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Mailing Address - Street 1:3948 CLEVELAND AVE SE
Mailing Address - Street 2:STE A
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4023
Mailing Address - Country:US
Mailing Address - Phone:360-570-9580
Mailing Address - Fax:360-570-9583
Practice Address - Street 1:3948 CLEVELAND AVE SE
Practice Address - Street 2:STE A
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-4023
Practice Address - Country:US
Practice Address - Phone:360-570-9580
Practice Address - Fax:360-570-9583
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00012548225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist