Individual
ANITA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10315 SILVERDALE WAY NW, SUITE D4, SILVERDALE, WA 98383-7670
(360) 692-5577
(360) 692-3720
Mailing address
PO BOX 3767, SILVERDALE, WA 98383-3767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60168899
WA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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