Individual
CHARLENE ANN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
31020 104TH AVE SE, AUBURN, WA 98092-3068
(253) 335-0078
(253) 887-9540
Mailing address
PO BOX 546, AUBURN, WA 98071-0546
(253) 335-0078
(253) 887-9540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017305
WA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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