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Individual

ANDREA GAYE BURNHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1703 HUDSON ST, LONGVIEW, WA 98632-2912
(503) 765-6673
Mailing address
810 HILLCREST DR, LONGVIEW, WA 98632-5641
(503) 635-1236

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
21470
OR
225700000X
Massage Therapist
Primary
MA61065984
WA

Other

Enumeration date
06/15/2015
Last updated
09/02/2024
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