Individual
CARRIE MICHELLE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
600 N 4TH ST, MOUNT VERNON, WA 98273-2828
(360) 848-6755
Mailing address
907 27TH STREET #2, ANACORTES, WA 98284-5602
(360) 840-9201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00022765
WA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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