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Individual
MRS. MELISSA MARIE WICKEY
Active
Individual
MRS. MELISSA MARIE WICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60684688
WA
225700000X
Massage Therapist
10981
HI
225700000X
Massage Therapist
MA60644137
WA
Other
Enumeration date
07/06/2012
Last updated
01/16/2024
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