MRS. Carrie Jean Vigoren, LMT

NPI #1487785788 in Longview, Washington

Provider Information

NPI Number: 1487785788
Entity Type: Individual
Name: MRS. Carrie Jean Vigoren, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1339 COMMERCE AVE
Address 2: SUITE 202
City: Longview
State: Washington
ZIP Code: 98632-3738
Phone: (360) 957-4861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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