Individual
CHARLOTTE M ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
409 SID SNYDER DR, LONG BEACH, WA 98631-3903
(360) 244-1991
Mailing address
PO BOX 700, LONG BEACH, WA 98631-0700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60096540
WA
Other
Enumeration date
07/07/2009
Last updated
04/19/2017
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