Individual
ANGELA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1010 ESTHER ST, VANCOUVER, WA 98660-3028
(360) 513-1907
Mailing address
1112 NW 48TH ST, VANCOUVER, WA 98663-1744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60613581
WA
Other
Enumeration date
05/09/2016
Last updated
09/07/2016
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