Amanda Longan
NPI #1578931218 in Shelton, Washington
Provider Information
- NPI Number
- 1578931218
- Entity Type
- Individual
- Name
- Amanda Longan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Sep 11, 2015
- Last Updated
- Sep 11, 2015
Practice Location
- Address
- 2236 CALLANAN ST
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-1904
- Phone
- (360) 490-0498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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