Individual
LOVE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
(763) 222-7588
Mailing address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
(763) 222-7588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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