Individual
ERIN ELIZABETH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
115 30TH AVE, APT B, SEATTLE, WA 98122-6229
(206) 501-7742
Mailing address
115 30TH AVE, APT B, SEATTLE, WA 98122-6229
(206) 501-7742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60415302
WA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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