Erica Y Wagoner, LMP

NPI #1497843296 in Kennewick, Washington

Provider Information

NPI Number
1497843296
Entity Type
Individual
Name
Erica Y Wagoner, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Oct 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
552 N COLORADO ST
Address 2
STE. 200
ZIP Code
99336-7779
Phone
(509) 736-6060

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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