MRS. Trace Jean Paul, LMP

NPI #1700939923 in Okanogan, Washington

Provider Information

NPI Number: 1700939923
Entity Type: Individual
Name: MRS. Trace Jean Paul, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1161 2ND AVE S
City: Okanogan
State: Washington
ZIP Code: 98840-9709
Phone: (509) 422-0630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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