Individual
MISS AMANDA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 EVERGREEN WAY STE 601, WASHOUGAL, WA 98671-2062
(360) 835-9911
Mailing address
5605 NE 118TH ST, VANCOUVER, WA 98686-4558
(360) 721-5975
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60510453
WA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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