Individual
AMY JENNIFER BEAUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
31659 NE 104TH ST, CARNATION, WA 98014-9751
(425) 614-8111
Mailing address
31659 NE 104TH ST, CARNATION, WA 98014-9751
(425) 614-8111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60184370
WA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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