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Individual

ANN J. NICEWONGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6731 ELIZABETH LOOP SE, AUBURN, WA 98092-8214
(253) 332-2411
Mailing address
6731 ELIZABETH LOOP SE, AUBURN, WA 98092-8214
(253) 332-2411

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60134521
WA

Other

Enumeration date
03/20/2010
Last updated
03/20/2010
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