Individual
ANGELA NICHOLE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4409 50TH AVE S, SEATTLE, WA 98118-1427
(206) 760-1448
Mailing address
1133 N 85TH ST, SEATTLE, WA 98103-4005
(530) 999-3521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
690875578
WA
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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