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Individual

MRS. ELIZABETH ANN MONROE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, LME

Contact information

Practice address
11105 NE 14TH ST STE 103, VANCOUVER, WA 98684-4309
(971) 204-8772
Mailing address
11105 NE 14TH ST STE 103, VANCOUVER, WA 98684-4309
(971) 204-8772

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60735426
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22624
MASSAGE THERAPIST
OR
01
60735426
MASSAGE THERAPIST
WA
Enumeration date
09/27/2017
Last updated
07/21/2022
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