Individual
ANGIE CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7059 BAILEY ST SE, LACEY, WA 98513-5020
(360) 357-9250
Mailing address
7059 BAILEY ST SE, LACEY, WA 98513-5020
(360) 357-9250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60249662
WA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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