Individual
AMBER B GARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
601 39TH AVE SW, PUYALLUP, WA 98373-5917
(253) 848-6626
Mailing address
14914 68TH AVE E, PUYALLUP, WA 98375-7005
(253) 535-4535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015235
WA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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