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Individual

CANDACE LAWREN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
6921 ROOSEVELT WAY NE, SEATTLE, WA 98115-6634
(206) 403-3778
Mailing address
5024 29TH AVE S, SEATTLE, WA 98108-2111
(206) 550-3978

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007549
WA

Other

Enumeration date
11/10/2012
Last updated
11/14/2012
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