Individual
MISS AMANDA WOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
162 S MAIN ST, COLVILLE, WA 99114-2406
(509) 684-1420
(509) 684-6293
Mailing address
162 S MAIN ST, COLVILLE, WA 99114-2406
(509) 684-1420
(509) 684-6293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60471245
WA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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