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Individual
MELINDA GUERTIN
Active
Individual
MELINDA GUERTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201982
DEPT. OF LABOR & INDUSTRY
WA
01
—
0264722
DEPT OF L&I
WA
01
—
3872GU
REGENCE BLUE SHIELD
WA
01
—
5029GU
REGENCE BLUE SHIELD
WA
01
—
7912592
AETNA
WA
01
—
8896GU
REGENCE BLUE SHIELD
WA
01
—
8938155
L & I CRIME VICTIMS
WA
01
—
911745305-98252-B011
TRICARE
WA
Enumeration date
04/18/2006
Last updated
07/06/2010
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