Individual
CAROLYN NALANI FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15603 MAIN ST, MILL CREEK, WA 98012-9003
(425) 357-1105
Mailing address
10532 32ND DR SE, EVERETT, WA 98208-4562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60042691
WA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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