Individual
CHLOE SIERRA KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514
(360) 604-1226
Mailing address
715 E 1ST AVE, CAMAS, WA 98607-1620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61072950
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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