MS. Fawn Dew Tanner, LMP

NPI #1922305598 in Washougal, Washington

Provider Information

NPI Number: 1922305598
Entity Type: Individual
Name: MS. Fawn Dew Tanner, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 17, 2011
Last Updated: Aug 16, 2013

Practice Location

Address: 1901 MAIN ST
City: Washougal
State: Washington
ZIP Code: 98671-4116
Phone: (360) 835-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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