Individual
MRS. BARBARA L. MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9111 346TH ST SO, STE #3, ROY, WA 98580
(360) 400-2002
(360) 400-2004
Mailing address
PO BOX 1370, MCKENNA, WA 98558
(360) 400-2002
(360) 400-2004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021352
WA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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