Individual
DENISE NICOLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8520 242ND ST SW APT 205, EDMONDS, WA 98026-9075
(425) 263-7259
Mailing address
8520 242ND ST SW APT 205, EDMONDS, WA 98026-9075
(425) 263-7259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00004309
WA
Other
Enumeration date
11/21/2007
Last updated
11/22/2016
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