Individual
MRS. AMBER D CUNNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
135 OGILVIE LN, OLDTOWN, ID 83822-7517
(509) 589-0213
Mailing address
135 OGILVIE LN, OLDTOWN, ID 83822-7517
(509) 589-0213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60243351
WA
Other
Enumeration date
09/29/2011
Last updated
09/06/2012
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