Individual
CHARITY IDDINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BIGLEAF LN, BELLINGHAM, WA 98229-4403
(360) 922-2777
Mailing address
11 BIGLEAF LN, BELLINGHAM, WA 98229-4403
(360) 922-2777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60483508
WA
Other
Enumeration date
07/29/2014
Last updated
01/04/2018
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