Individual
AMANDA MARIE DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
202 W 1ST ST STE 1, CLE ELUM, WA 98922-1154
(509) 674-5057
(509) 674-6946
Mailing address
202 W 1ST ST STE 1, CLE ELUM, WA 98922-1154
(509) 674-5057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60879918
WA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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