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Individual

MRS. FAITH E LYKKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
112 STATE AVE, MARYSVILLE, WA 98270
(360) 651-0959
(360) 651-1368
Mailing address
2115 HARRISON AVE, EVERETT, WA 98201-3344
(425) 319-1211
(360) 651-1368

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023149
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA00023149
MASSAGE PRACTITIONER
WA
Enumeration date
03/02/2007
Last updated
07/08/2007
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