Individual
AMANDA LEE WOLKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
321 D ST, SUITE F, MARYSVILLE, CA 95901-5902
(530) 218-4342
Mailing address
2205 HALL ST, MARYSVILLE, CA 95901-3501
(530) 218-4342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54185
CA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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