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Individual

MS. SHERICE RENEE MATHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
145 LILLY RD NE, SUITE 101, OLYMPIA, WA 98506-5028
(360) 880-1809
(360) 864-8879
Mailing address
406 EVANS RD, TOLEDO, WA 98591-9515
(360) 880-1809
(360) 864-8879

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023932
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603272625
SHERICE'S MASSAGE
Enumeration date
07/20/2007
Last updated
05/03/2017
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