Individual
AILEEN M PANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP
Contact information
Practice address
2130 WESTLAKE AVE N, SUITE #4, SEATTLE, WA 98109-2495
(206) 838-5318
(206) 432-8876
Mailing address
2130 WESTLAKE AVE N, SUITE #4, SEATTLE, WA 98109-2495
(206) 838-5318
(206) 432-8876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60125271
WA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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