Individual
MRS. BETHANY L CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
211 EUCLID ROAD, GRANDVIEW, WA 98930-1160
(509) 882-7888
Mailing address
171 SAND HILL RD, GRANDVIEW, WA 98930-9451
(509) 882-2472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017601
WA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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