MR. Mark Anthony White JR., LMP

NPI #1013270552 in Mount Vernon, Washington

Provider Information

NPI Number: 1013270552
Entity Type: Individual
Name: MR. Mark Anthony White JR., LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 2220 N TRUMPETER DR
City: Mount Vernon
State: Washington
ZIP Code: 98273-8968
Phone: (425) 244-1498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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