Individual
CLINTON GORDON PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
802 18TH ST NW, PUYALLUP, WA 98371-3998
(253) 820-2960
Mailing address
802 18TH ST NW, PUYALLUP, WA 98371-3998
(253) 820-2960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022763
WA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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