Individual
BIANCA WHEALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
22006 SE 268TH ST, MAPLE VALLEY, WA 98038-7445
(253) 468-3147
Mailing address
22006 SE 268TH ST, MAPLE VALLEY, WA 98038-7445
(253) 468-3147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021143
WA
Other
Enumeration date
01/03/2008
Last updated
02/28/2014
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