Individual
ELYNN ANAE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 NEWMARKET ST STE 115, BELLINGHAM, WA 98226-3870
(360) 656-5131
Mailing address
2260 MAIN ST APT 1, FERNDALE, WA 98248-9271
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00020720
STATE LICENSE NUMBER
WA
Enumeration date
01/15/2021
Last updated
01/15/2021
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