Individual
MS. HEIDI ELIZABETH WARDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2400 NW MYHRE RD STE 101, SILVERDALE, WA 98383-7672
(360) 621-4072
Mailing address
7038 CORFU BLVD NE, BREMERTON, WA 98311-9547
(360) 621-4072
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60219596
WA
Other
Enumeration date
07/13/2011
Last updated
09/20/2011
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