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Individual

ALICIA WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
19215 SE 34TH ST STE 102, CAMAS, WA 98607-8830
(360) 882-7733
(360) 254-6821
Mailing address
19215 SE 34TH ST., STE 102, CAMAS, WA 98607
(360) 882-7733
(360) 254-6821

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022526
WA

Other

Enumeration date
12/10/2008
Last updated
03/07/2012
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