Individual
ANDREA IRENE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4459 SE MILE HILL DR, PORT ORCHARD, WA 98366-3908
(360) 871-3433
Mailing address
4459 SE MILE HILL DR, PORT ORCHARD, WA 98366-3908
(360) 871-3433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00019046
WA
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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