Susan L Pearson LMP

NPI 1417195660 - Massage Therapist - 225700000X

NPI Details
NPI 1417195660
Gender Female
Enumeration Date 01/27/2009
Last Updated 01/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
12263 N. MILL STREET
CLEARLAKE WA, 98284, US
Phone (360) 856-1528
Fax
Business Location
P.O BOX 123
CLEARLAKE WA, 98235-0123, US
Phone (360) 856-1528
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA000-25403
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According to our database, Susan L Pearson LMP NPI is 1417195660, taxonomy code is 225700000X and license number is MA000-25403, license state is located at Washington. Susan L Pearson LMP physically located at 12263 N. Mill Street, Clearlake WA, 98284. NPI Number Susan L Pearson LMP has the Individual type.

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1417195660 NPI number is provided on an as is basis without warranty of any kind. 1417195660 is maintained by the National Plan & Provider Enumeration System. The contents of Susan L Pearson LMP are for informational purposes only.