Individual
MS. DEBORAH ANN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
818 8TH AVE, CARBONADO, WA 98323-9997
(253) 686-7965
Mailing address
PO BOX 37, CARBONADO, WA 98323-0037
(253) 686-7965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015065
WA
Other
Enumeration date
04/03/2007
Last updated
12/21/2009
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