Individual
MS. CAMILLE ANN WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
25 SHORT RD, PORT ANGELES, WA 98362-8189
(360) 460-6140
Mailing address
PO BOX 488, PORT ANGELES, WA 98362-0074
(360) 460-6140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60524213
WA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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