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Individual

MRS. ESTHER FERMENICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
9805 E MILL PLAIN BLVD, VANCOUVER, WA 98664-3921
(360) 254-5881
(360) 254-2763
Mailing address
7307 NE 239TH ST, BATTLE GROUND, WA 98604-5354
(360) 254-5881
(360) 254-2763

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018331
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0205978
LABOR AND INDUSTRIES
WA
Enumeration date
11/13/2006
Last updated
07/08/2007
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