Individual
MRS. DAVITA E FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
116 WOODWORTH ST, STE. D, SEDRO WOOLLEY, WA 98284-1460
(360) 420-0474
Mailing address
PO BOX 95, SEDRO WOOLLEY, WA 98284-0095
(360) 420-0474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00009480
WA
Other
Enumeration date
11/05/2012
Last updated
01/24/2017
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