Individual
MRS. JULIEANNE NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6815 NELS ST SW, OLYMPIA, WA 98512-2353
(360) 350-8557
Mailing address
6815 NELS ST SW, OLYMPIA, WA 98512-2353
(360) 350-8557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 00018538
MASSAGE PRACTITIONER LICENSE CREDENTIAL NUMBER
WA
Enumeration date
03/27/2007
Last updated
02/18/2009
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