Individual
CARLA BONE PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12504 NW 36TH AVE, VANCOUVER, WA 98685-2227
(360) 836-5317
Mailing address
2712 NW 118TH CIRCLE, VANCOUVER, WA 98685
(360) 836-5317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60479768
WA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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