Individual
BONNIE LYNN WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
805 W BAY DR NW, OLYMPIA, WA 98502-4839
(360) 359-5968
Mailing address
420 ELLINOR AVE, SHELTON, WA 98584-3209
(360) 359-5968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011633
WA
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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