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Individual

HEATHER MAE NESSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
5500 NE 109TH CT, SUITE L, VANCOUVER, WA 98662-6176
(360) 828-5411
Mailing address
3713 NW 121ST CIR, VANCOUVER, WA 98685-2061
(360) 600-3165

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017959
WA

Other

Enumeration date
06/04/2011
Last updated
06/04/2011
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