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Individual
MS. PEIFANG SHEN
Active
Individual
MS. PEIFANG SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024201MA00012100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139719
WA DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
05/14/2008
Last updated
05/14/2008
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