Individual
MRS. EMILY AMARYLLIS NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
16311 70TH AVE NW, STANWOOD, WA 98292-6900
(425) 418-0591
Mailing address
PO BOX 1601, STANWOOD, WA 98292-1601
(425) 418-0591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60293257
WA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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