Individual
AMBER GILDEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1101 E 56TH ST, TACOMA, WA 98404
(360) 628-4996
Mailing address
1101 E 56TH ST, TACOMA, WA 98404
(360) 628-4996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60437279
WA
Other
Enumeration date
12/11/2013
Last updated
02/14/2017
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