Individual
CHIKAKO MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22790 BUCHANAN ST, MOUNT VERNON, WA 98273-8023
(360) 856-5562
Mailing address
115 N 6TH ST, MOUNT VERNON, WA 98273-3305
(360) 840-1799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60331004
WA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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