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Individual

ERIKA ALICE DANCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
5423 110TH ST SW, APTA10, LAKEWOOD, WA 98499-3508
(757) 472-3006
Mailing address
5423 110TH ST SW, APTA10, LAKEWOOD, WA 98499-3508
(757) 472-3006

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60133729
WA

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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