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Individual

MRS. ANN ELIZABETH GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1116 17TH ST. ANACORTES WA 98221, ANACORTES, WA 98221
(360) 293-6277
(360) 350-5916
Mailing address
1116 17TH ST., ANACORTES, WA 98221
(360) 708-3072
(360) 755-9163

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15540
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0152422
L&I NUMBER
WA
01
MA15540
MASSAGE LICENSE #
WA
Enumeration date
05/22/2007
Last updated
05/14/2024
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