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Mrs. Mollie Ann Fonceca
Massage Therapist in Lake Stevens, Washington
NPI 1649479437

Mollie Ann Fonceca is a Massage Therapist based in Lake Stevens, WA. Mollie Ann Fonceca practices in Lake Stevens, WA. The NPI Number for Mollie Ann Fonceca is 1649479437 and holds a License No. MA00024274 (Washington).

The current practice location address for Mollie Ann Fonceca is 815 103Rd Dr Se, Lake Stevens, WA and can be reached out via phone at 425-334-9287.

Location: 815 103Rd Dr Se, Lake Stevens, WA, 98258-9458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649479437
Provider Name
Mollie Ann Fonceca
Credential
Provider Entity Type
Individual
Gender
Female
Address
815 103Rd Dr Se, Lake Stevens, WA, 98258-9458
Phone Number
425-334-9287
Fax Number
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 103Rd Dr Se
City
Lake Stevens
State
Washington
Zip
98258-9458
Phone Number
425-334-9287
Fax Number
person
Provider Business Mailing Address Details
Address
815 103Rd Dr Se
City
Lake Stevens
State
Washington
Zip
98258-9458
Phone Number
425-334-9287
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00024274 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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