MRS. Monique T Wiedrich, LMP

NPI #1336241090 in Tumwater, Washington

Provider Information

NPI Number: 1336241090
Entity Type: Individual
Name: MRS. Monique T Wiedrich, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3948 CLEVELAND AVE SE STE A
City: Tumwater
State: Washington
ZIP Code: 98501-4023
Phone: (360) 570-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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