Individual
MS. ANDREA MARIE GANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3102 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4525
(253) 565-0476
Mailing address
21803 42ND AVE E, SPANAWAY, WA 98387-6870
(253) 476-0377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA.61007023
WA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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