Penny Gaudreau, LMP

NPI #1487986592 in Burlington, Washington

Provider Information

NPI Number: 1487986592
Entity Type: Individual
Name: Penny Gaudreau, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 1, 2010
Last Updated: Feb 16, 2010

Practice Location

Address: 26290 STATE ROUTE 20
City: Burlington
State: Washington
ZIP Code: 98233
Phone: (360) 540-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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