Individual
MS. ELIZABETH LEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2131 BETHEL RD SE, PORT ORCHARD, WA 98366
(360) 710-2057
Mailing address
P.O. BOX 398, OLALLA, WA 98359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024201 MA00011005
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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