Individual
MS. CARSON LOU BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
204 S 348TH ST, STE. 3, FEDERAL WAY, WA 98003-7041
(253) 878-2302
Mailing address
204 S 348TH ST, STE. 3, FEDERAL WAY, WA 98003-7041
(253) 878-2302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60303871
WA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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