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Individual

GLENDA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231
Mailing address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
61539492
WA
225700000X
Massage Therapist
Primary
MA61539492
WA
225700000X
Massage Therapist
MA90788
FL

Other

Enumeration date
05/01/2023
Last updated
07/23/2024
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