Individual
AMBER PREJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8503 W CLEARWATER AVE, SUITE B, KENNEWICK, WA 99336-3100
(509) 374-4719
Mailing address
5009 LAREDO DR, PASCO, WA 99301-8359
(509) 222-9824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
397920-00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320273
WASHINGTON STATE DEPARTMENT OF L&I
WA
Enumeration date
11/11/2013
Last updated
11/30/2016
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