Individual
MS. GLORIA ANN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
22201 MARINEVIEW DRIVE S, DES MOINES, WA 98198-0244
(206) 878-6940
(206) 870-1940
Mailing address
P O BOX 98244, DES MOINES, WA 98198-0244
(206) 878-6940
(206) 870-1940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103543
LABOR & INDUSTRY
WA
Enumeration date
10/16/2009
Last updated
10/16/2009
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