Individual
AMANDA VAUGHN GILCHRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3923 S BURNS ST, SEATTLE, WA 98118-5229
(206) 605-8181
Mailing address
3923 S BURNS ST, SEATTLE, WA 98118-5229
(206) 605-8181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60012075
WA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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