Individual
CARMEN ANDREA SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3164 MONTEREY DR, MALAGA, WA 98828-9731
(360) 393-0578
(509) 884-2363
Mailing address
416 9TH ST., WENATCHEE, WA 98801-1503
(360) 393-0578
(509) 662-2161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60301063
WA
Other
Enumeration date
09/15/2014
Last updated
09/02/2016
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