Individual
ANNALIESE E FOSTER-FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10107 213TH ST E, GRAHAM, WA 98338-8059
(253) 847-2687
Mailing address
PO BOX 988, GRAHAM, WA 98338-0988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61474822
WA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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