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Individual

ARLENE E MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
30013 196TH AVE SE, SUITE B, KENT, WA 98042-9212
(206) 396-1467
(253) 638-0761
Mailing address
30013 196TH AVE SE, SUITE B, KENT, WA 98042-9212
(206) 396-1467
(253) 638-0761

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018433
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 00018433
WA STATE MASSAGE LICENSE
WA
Enumeration date
12/09/2008
Last updated
12/09/2008
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