Individual
DEBORAH J HOMCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15027 AURORA AVE N, SHORELINE, WA 98133-6134
(206) 362-3520
(206) 362-3521
Mailing address
15027 AURORA AVE N, SHORELINE, WA 98133-6134
(206) 362-3520
(206) 362-3521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007593
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00007593
MASSAGE LICENSE
WA
Enumeration date
12/17/2010
Last updated
12/17/2010
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