Individual
ERIKA MAE TEAGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
703 BROADWAY ST STE 500, VANCOUVER, WA 98660-3307
(360) 690-0081
(360) 690-0083
Mailing address
703 BROADWAY ST STE 500, VANCOUVER, WA 98660-3307
(360) 690-0081
(360) 690-0083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60733452
WA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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