Individual
AMANDA KAY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
636 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7956
(360) 809-0569
Mailing address
636 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7956
(360) 809-0569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018223
WA
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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