Individual
MRS. ANNETTE LILJA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
114 ALPINE LAKE RD, TERRA ALTA, WV 26764-7700
(304) 777-0958
Mailing address
279 CASTEEL RD, TERRA ALTA, WV 26764-6175
(304) 777-7133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018-3595
WV
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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