Individual
CORRINE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23718 BOTHELL EVERETT HWY, SUITE A, BOTHELL, WA 98021
(425) 485-4332
Mailing address
23718 BOTHELL EVERETT HWY, SUITE A, BOTHELL, WA 98021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60452570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60452570
MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
12/01/2014
Last updated
12/01/2014
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