Individual
GAYLYNN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4122 FACTORIA BLVD SE STE 202, BELLEVUE, WA 98006-5259
(425) 590-9158
Mailing address
530 SE LEWIS ST, ISSAQUAH, WA 98027-4703
(425) 246-8754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60307926
WA
Other
Enumeration date
09/13/2012
Last updated
02/04/2013
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