Individual
EDEN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 20TH ST E, FIFE, WA 98424-1917
(817) 739-6522
Mailing address
4609A REDWOOD ST SW, MCCHORD AFB, WA 98439-1411
(817) 739-6522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60513755
WA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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