Kim Michealle Bonner Secunda, LMP

NPI #1669615282 in Eastsound, Washington

Provider Information

NPI Number: 1669615282
Entity Type: Individual
Name: Kim Michealle Bonner Secunda, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Apr 13, 2009
Last Updated: Apr 14, 2009

Practice Location

Address: 286 ENCHANTED FOREST RD
Address 2: SUITE 201A
City: Eastsound
State: Washington
ZIP Code: 98245
Phone: (360) 376-2512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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