Individual
MS. ANDREA MARIE HODNELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BELLEVUE WAY SE, BELLEVUE, WA 98004-7116
(425) 985-0736
Mailing address
1310 BELLEVUE WAY SE, BELLEVUE, WA 98004-7116
(425) 985-0736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60173654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60173654
MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
09/24/2010
Last updated
09/24/2010
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