Individual
MS. AMANDA SUE NUNNIKHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10125 MAIN PL, SUITE A, BOTHELL, WA 98011-3457
(425) 806-5525
(425) 806-3915
Mailing address
2809 FOREST VIEW DR, EVERETT, WA 98203-6938
(360) 608-2267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21665
WA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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