Eva Marie Wagoner, LMT

NPI #1720543929 in Burlington, Washington

Provider Information

NPI Number: 1720543929
Entity Type: Individual
Name: Eva Marie Wagoner, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 1, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 830 E FAIRHAVEN AVE
City: Burlington
State: Washington
ZIP Code: 98233-1917
Phone: (360) 757-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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