Individual
HEATHER NICOLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
32411 223RD AVE SE, BLACK DIAMOND, WA 98010-1317
(253) 736-4208
Mailing address
32411 223RD AVE SE, BLACK DIAMOND, WA 98010-1317
(253) 736-4208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60190420
WA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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