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Individual

BETSY MAE PREHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
876 CLOVERDALE RD, KALAMA, WA 98625-9712
(360) 846-7379
Mailing address
876 CLOVERDALE RD, KALAMA, WA 98625-9712
(360) 846-7379

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60421831
WA

Other

Enumeration date
03/21/2014
Last updated
03/21/2014
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