Individual
FAITH VANDEPUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
308 LOPEZ RD, LOPEZ ISLAND, WA 98261
(360) 468-4777
Mailing address
48 TUATARA RD, LOPEZ ISLAND, WA 98261-8768
(360) 468-3044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010909
WA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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