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Individual

MS. ERIN MARY BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
9015 HOLMAN RD NW STE 3, SEATTLE, WA 98117-3481
(206) 782-8500
(206) 784-4020
Mailing address
9015 HOLMAN RD NW STE 3, SEATTLE, WA 98117-3481
(206) 782-8500
(206) 784-4020

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016624
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007315816
AETNA INSURANCE COMPANY
WA
Enumeration date
12/12/2006
Last updated
07/08/2007
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