Individual
CORAL PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1033 1ST ST, COSMOPOLIS, WA 98520
(360) 532-1093
(360) 533-2058
Mailing address
1607 S EVANS ST, ABERDEEN, WA 98520-5114
(360) 532-1093
(360) 533-2058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60072538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60072538
WASHINGTON STATE LICENSE NUMBER
WA
Enumeration date
04/17/2009
Last updated
04/17/2009
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