Individual
MRS. GURUBANI WHITNEY A VAN BOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
320 E FAIRHAVEN AVE STE 201, BURLINGTON, WA 98233-1700
(865) 455-3453
Mailing address
PO BOX 74, ROCKPORT, WA 98283-0074
(865) 455-3453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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