Individual
MISS AMBER MARIE BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3806 9TH ST SW STE D, PUYALLUP, WA 98373-3687
(253) 770-0412
Mailing address
3806 9TH ST SW STE D, PUYALLUP, WA 98373-3687
(253) 770-0412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60002869
WA
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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