Individual
DEBORAH GLOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
335 NE 158TH ST, SHORELINE, WA 98155-5721
(206) 361-1730
Mailing address
335 NE 158TH ST, SHORELINE, WA 98155-5721
(206) 361-1730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7261226
AETNA
WA
Enumeration date
01/11/2012
Last updated
01/11/2012
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