Teresa Pantoja, MA60989127

NPI #1215602453 in Mount Vernon, Washington

Provider Information

NPI Number: 1215602453
Entity Type: Individual
Name: Teresa Pantoja, MA60989127
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MA60989127
Enumeration Date: Aug 10, 2021
Last Updated: Aug 10, 2021

Practice Location

Address: 1420 ROOSEVELT AVE SUITE 6
City: Mount Vernon
State: Washington
ZIP Code: 98273
Phone: (360) 550-0712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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