Individual
ASHLEY MARIE-LOUISE FOGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASHLEY FOGWELL
Contact information
Practice address
4122 FACTORIA BLVD SE, SUITE 203, BELLEVUE, WA 98006-4200
(425) 590-9619
(425) 590-9641
Mailing address
5680 S 152ND ST, APT 10, TUKWILA, WA 98188-2481
(515) 422-6419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60210193
WA
Other
Enumeration date
03/16/2011
Last updated
07/26/2013
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