Individual
MS. CHARLENE JEANETTE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
101 E MAIN ST, 201, MONROE, WA 98272-1519
(360) 863-0642
Mailing address
13201 LINDEN AVE N, #104A, SEATTLE, WA 98133-7546
(206) 349-2118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013939
WA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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