Individual
MRS. AILI NICOLE WIKANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 KELSEY LN E, EATONVILLE, WA 98328-9451
(253) 380-9676
Mailing address
713 KELSEY LN E, EATONVILLE, WA 98328-9451
(253) 380-9676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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