Individual
MS. AMANDA VICTORIA CABELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
202 S 348TH ST, STE. #4, FEDERAL WAY, WA 98003-7070
(253) 874-2498
Mailing address
32633 20TH AVE SW, FEDERAL WAY, WA 98023-5479
(253) 332-8212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60215451
WA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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