MS. Roxanne Fairfax, LMT

NPI #1215061973 in Monroe, Washington

Provider Information

NPI Number: 1215061973
Entity Type: Individual
Name: MS. Roxanne Fairfax, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18960 STATE ROUTE 2
Address 2: SUITE 130
City: Monroe
State: Washington
ZIP Code: 98272-1415
Phone: (425) 319-0848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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