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Individual

MS. CHRISTINA MARIE VANCAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4040 ORCHARD ST W STE 100, FIRCREST, WA 98466-6610
(360) 791-9971
Mailing address
5115 23RD AVE SE, LACEY, WA 98503-3340
(360) 791-9971

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60275863
WA

Other

Enumeration date
04/10/2012
Last updated
09/05/2012
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