Individual
CYNTHIA M STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12214 SE MILL PLAIN BLVD, SUITE 101, VANCOUVER, WA 98684-6019
(360) 241-0970
Mailing address
16408 NE 12TH ST, VANCOUVER, WA 98684-9494
(360) 241-0970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016692
WA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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