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Individual

CLAUDIA MARIE PENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
873 BETHEL AVE, PORT ORCHARD, WA 98366-4229
(360) 876-1500
(360) 876-1666
Mailing address
5571 LAKE VALLEY RD SE, PORT ORCHARD, WA 98367-9045
(360) 662-6241
(360) 876-1666

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60168878
WA

Other

Enumeration date
02/08/2011
Last updated
02/08/2011
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