Individual
MISS ELISHA DANYEIL OLTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3527 ROBE MENZEL RD, GRANITE FALLS, WA 98252-9418
(425) 210-1084
Mailing address
PO BOX 886, SNOHOMISH, WA 98291-0886
(425) 210-1084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016969
WA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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