Individual
ELISE MARIE HARTENIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
302 MAPLE AVE, SNOHOMISH, WA 98290-2526
(360) 568-3319
Mailing address
7913 86TH DR NE, MARYSVILLE, WA 98270-7417
(360) 658-0295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60750907
WA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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