Individual
MRS. BOBBI NICHOLE MENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5577 VAN BARR PLACE, FREELAND, WA 98249
(360) 708-5622
Mailing address
651 LAKE MASTIE RD, COUPEVILLE, WA 98239-4413
(360) 708-5622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60235966
WA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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