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
- City
- Kennewick
- State
- Washington
- ZIP Code
- 99336-7779
- Phone
- (509) 736-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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