Individual
CHRIS L WIDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
21 CARMICHAEL ST STE 204, ESSEX JUNCTION, VT 05452-3186
(802) 233-0600
Mailing address
21 CARMICHAEL ST STE 204, ESSEX JUNCTION, VT 05452-3186
(802) 233-0600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017639
WA
Other
Enumeration date
03/21/2007
Last updated
10/09/2018
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