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Individual

FONDA OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
24015 32ND AVE E, TACOMA, WA 98387
(253) 228-9909
(253) 228-9909
Mailing address
24015 32ND AVE E, TACOMA, WA 98387
(253) 228-9909
(253) 228-9909

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018615
WA

Other

Enumeration date
01/24/2007
Last updated
11/20/2015
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