Individual
MS. ANTHEA EVELYN KRANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3888 NW RANDALL WAY STE 102, SILVERDALE, WA 98383
(360) 731-8668
Mailing address
PO BOX 3108, SILVERDALE, WA 98383
(360) 731-8665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60040834
WA
Other
Enumeration date
12/05/2008
Last updated
07/23/2010
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