Individual
ANGELA KRISTINE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2120 SW 152ND ST, BURIEN, WA 98166-2027
(206) 244-7973
(206) 244-2613
Mailing address
2120 SW 152ND ST, BURIEN, WA 98166-2027
(206) 244-7973
(206) 244-2613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00015396
WA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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