Individual
BIBIANNA ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Mailing address
6029 MISSION AVE, TULALIP, WA 98271-9711
(360) 775-7878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60188186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60188186
LICENSE
WA
Enumeration date
06/05/2019
Last updated
06/05/2019
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