Individual
GWYN D TARRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
104 W 4TH ST, #106, ABERDEEN, WA 98520-3932
(360) 533-7276
Mailing address
104 W 4TH ST, #106, ABERDEEN, WA 98520-3932
(360) 533-7276
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010495
WA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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