Individual
MISS SUSAN ELIZABETH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
112 ALDER AVE, UNIT 10, SNOHOMISH, WA 98290-3079
(425) 286-3888
Mailing address
112 ALDER AVE, UNIT 10, SNOHOMISH, WA 98290-3079
(425) 286-3888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00017838
MASSAGE LICENSE
WA
Enumeration date
04/06/2007
Last updated
06/12/2009
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