Individual
MS. TERRI LYNN KILBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 00004895
Contact information
Practice address
1710 RAILROAD STREET, ENUMCLAW DAY SPA, ENUMCLAW, WA 98022
(360) 825-5755
Mailing address
62408 FOREST GLEN WAY E, ENUMCLAW, WA 98022-8088
(360) 663-0260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00004895
WA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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