Individual
CANDICE JOLEEN WIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MAIN ST, WILBUR, WA 99185
(509) 647-5500
(509) 647-0128
Mailing address
PO BOX 216, WILBUR, WA 99185-0216
(509) 641-0192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60948177
WA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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