Individual
MRS. HEIDI KRISTINE PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
401 E FRONT ST, PORT ANGELES, WA 98362-3113
(360) 565-1199
Mailing address
136 E. 8TH ST. #126, PORT ANGELES, WA 98362-6129
(360) 461-0443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00008620
WA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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