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Individual

MS. HELEN GWYN PELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4110 STONE WAY N, STILLPOINT HEALTH ASSOC, SEATTLE, WA 98103
(206) 297-7862
Mailing address
5762 26TH AVE NE, SEATTLE, WA 98105-5506
(206) 297-7862

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007961
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2952PE
REGENCE
Enumeration date
12/04/2006
Last updated
07/08/2007
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