Individual
AMANDA JOY CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5512 NE 109TH CT STE I, VANCOUVER, WA 98662-6175
(360) 798-5704
Mailing address
3000 NE 109TH AVE APT 59, VANCOUVER, WA 98682-7248
(360) 487-6539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60607980
WA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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