Individual
ANITA MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
51 W DAYTON ST, #304, EDMONDS, WA 98020-4111
(425) 582-0884
Mailing address
51 W DAYTON ST, #304, EDMONDS, WA 98020-4111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60655910
WA
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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