Individual
CANDISE BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19330 VASHON HWY SW, VASHON, WA 98070-5212
(206) 463-4778
Mailing address
17809 MCLEAN RD SW, VASHON, WA 98070-5421
(206) 422-2563
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60110218
WA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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