Individual
EVA MARIE WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
830 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1917
(360) 757-7373
Mailing address
830 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1917
(360) 757-7373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60791975
WA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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