Individual
CARLY MIRANDA-SUE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7717 HIGHLAND PARK WAY SW, SEATTLE, WA 98106-2014
(503) 548-7370
Mailing address
7717 HIGHLAND PARK WAY SW, SEATTLE, WA 98106-2014
(503) 548-7370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60404042
WA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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