Individual
FAITH KRISTINE IMBODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10021 HOLMAN RD NW, SEATTLE, WA 98177-4920
(253) 363-1459
Mailing address
10021 HOLMAN RD NW, SEATTLE, WA 98177-4920
(253) 363-1459
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60851614
WA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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