Individual
ANDREA SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
24060 SE KENT KANGLEY RD, D-100, MAPLE VALLEY, WA 98038-6801
(425) 433-0123
(425) 433-0733
Mailing address
24060 SE KENT KANGLEY RD, D-100, MAPLE VALLEY, WA 98038-6801
(425) 433-0123
(425) 433-0733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60312231
WA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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