Individual
MRS. BONNIE LEIGH BINGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14313 55TH AVE SE, EVERETT, WA 98208-9356
(425) 344-0951
Mailing address
14313 55TH AVE SE, EVERETT, WA 98208-9356
(425) 344-0951
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021522
WA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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