Individual
MS. ANNA M PETRUOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2006 MAIN ST, VANCOUVER, WA 98660-2637
(360) 906-0826
Mailing address
2600 NE MINNEHAHA ST, #49, VANCOUVER, WA 98665-1300
(360) 901-6861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018016
WA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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