Individual
MRS. CANDIE SUE CORNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
715 E YELM AVE, YELM, WA 98597-8734
(360) 458-2225
Mailing address
15316 CARTER CT SE, YELM, WA 98597-8575
(253) 273-9062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60580235
WA
Other
Enumeration date
10/17/2015
Last updated
10/17/2015
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