Individual
DEANNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 NE 134TH STREET, VANCOUVER, WA 98685
(360) 574-3141
Mailing address
2001 NE 157TH STREET, VANCOUVER, WA 98686
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60645142
WA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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