Individual
MR. BENJAMIN DAVID ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
2623 EUCLID AVE, WENATCHEE, WA 98801-3596
(509) 664-7080
Mailing address
1119 COLUMBINE ST, WENATCHEE, WA 98801-3362
(425) 328-5904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60482047
WA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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