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Individual

CLEMENTINE MARIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5963 SW CARROLL ST, SEATTLE, WA 98116-3647
(360) 742-7344
Mailing address
PO BOX 16050, SEATTLE, WA 98116-0050
(360) 742-7344

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60524067
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA60524067
MASSAGE
WA
Enumeration date
04/15/2015
Last updated
01/24/2025
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