Individual
GWENDOLYN DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
526 MAIN STREET, BREWSTER, WA 98812
(509) 421-0106
Mailing address
PO BOX 494, PATEROS, WA 98846-0494
(509) 421-0106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020348
WA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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