Individual
MRS. CHERYL LYNN FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15324 MAIN ST E, SUITE B, SUMNER, WA 98390-2698
(253) 225-1649
Mailing address
3219 170TH AVE E, LAKE TAPPS, WA 98391-5530
(253) 225-1649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123246
LABOR AND INDUSTRY
WA
01
—
5899FR
REGENCE BLUE SHIELD
WA
Enumeration date
11/06/2006
Last updated
07/08/2007
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