Individual
MRS. DEBRA DIANNE AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
481 METZGER RD, CARSON, WA 98610
(509) 427-4030
Mailing address
PO BOX 960, CARSON, WA 98610-0960
(509) 427-4030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019847
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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