Individual
MS. CAROL ANN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP AMTA
Contact information
Practice address
1010 5TH ST, SUITE 210, ANACORTES, WA 98221
(360) 420-0703
Mailing address
5444 SOLSTICE LN, ANACORTES, WA 98221
(360) 420-0703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015567
WA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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