Individual
MRS. CARRIE RENE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19215 SE 34TH ST. #102, PRIORITY HEALTH, CAMAS, WA 98607
(360) 882-7733
(360) 254-6821
Mailing address
19215 SE 34TH ST. #102, PRIORITY HEALTH, CAMAS, WA 98607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023653
WA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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