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Individual

MRS. SARAH LYNNE RONFELDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4631 WHITMAN LN SE, LACEY, WA 98513-2201
(360) 932-1717
(360) 923-0404
Mailing address
4631 WHITMAN LN SE, LACEY, WA 98513-2201
(360) 932-1717
(360) 923-0404

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60106709
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA60106709
MASSAGE STATE LICENSE
WA
Enumeration date
05/11/2010
Last updated
05/11/2010
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