Individual provider · Type 1 NPI

Mollie Ann Fonceca

Massage Therapist · Lake Stevens, WA

NPI number 1649479437 Active

Practice location

815 103rd Dr SE
Lake Stevens, WA 98258-9458

Call (425) 334-9287 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00024274 (WA)

Massage Therapist: 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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About NPI 1649479437

Mollie Ann Fonceca's National Provider Identifier is 1649479437, issued on Jul 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Jul 12, 2007.