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Individual
MRS. LIZETTE LAVONNE MALDONADO
Active
Individual
MRS. LIZETTE LAVONNE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNA,LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024201MA00013983
WA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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