Individual
CARLA L LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
501 8TH ST, HOQUIAM, WA 98550-3520
(360) 581-6117
Mailing address
13 PIRATES WAY, ABERDEEN, WA 98520-9405
(360) 581-6117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018325
WA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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