Individual
BENNETT NADEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
18125 BUTLER RD, SNOHOMISH, WA 98290-6359
(425) 232-1459
Mailing address
18125 BUTLER RD, SNOHOMISH, WA 98290-6359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60181004
WA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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