Individual
MS. CYNTHIA L GILLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
6611 KITSAP WAY, BREMERTON, WA 98312-1741
(360) 377-8770
(206) 666-3739
Mailing address
9341 NIKA TRL NW, SILVERDALE, WA 98383-9304
(360) 649-8426
(206) 666-3739
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201438
DEPT OF LABOR & INDUSTRIE
WA
01
—
8925559
CRIME VICTIMS COMP PROGRA
WA
Enumeration date
04/24/2007
Last updated
07/08/2007
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