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Individual

AMY JEAN WHITCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.P

Contact information

Practice address
325 E GEORGE HOPPER RD STE 106, BURLINGTON, WA 98233-3154
(360) 707-2300
Mailing address
3120 ADAMS AVE APT D105, BELLINGHAM, WA 98225-0926

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60494347
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60494347
L.M.P
WA
Enumeration date
08/01/2017
Last updated
08/01/2017
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