Individual
CAROLINE SNIJDER VAN WISSENKERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15965 NE 85TH ST STE 102, REDMOND, WA 98052-3593
(425) 882-9065
Mailing address
17202 185TH AVE NE, WOODINVILLE, WA 98072-9630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60578350
WA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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