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Individual

MISS AMANDA NICOLE HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1138 NW MARKET ST, SEATTLE, WA 98107-3710
(206) 783-0404
(206) 782-8955
Mailing address
811 NE 188TH ST, SHORELINE, WA 98155-2224
(505) 717-7280

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60917543
WA

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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