Individual
GAYLE MARIE BLANKENBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1616 E TRUMAN DR, MOSES LAKE, WA 98837-8884
(425) 359-9641
Mailing address
1616 E TRUMAN DR, MOSES LAKE, WA 98837-8884
(425) 359-9641
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60778344
WA
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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