Individual
MR. HENRY HALL SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 907-5537
Mailing address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 907-5537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00017832
WA
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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