Individual
AMANDA SOPHIE WOODENLEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
204 E LAUREL ST, #105, BELLINGHAM, WA 98225-4761
(360) 441-2065
Mailing address
204 E LAUREL ST, #105, BELLINGHAM, WA 98225-4761
(360) 441-2065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60177970
WA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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