TERRA MARIE FORKNER

MOUNT VERNON, WA
NPI1235672882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60644252)
Enumeration Date2016-11-30
Last Update Date2017-02-22
Business Address
Mrs. TERRA MARIE FORKNER LMP
1202 S. 2ND STREET SUITE E
MOUNT VERNON, WA 98273
Phone number: 360-610-1089
Mailing Address
Mrs. TERRA MARIE FORKNER LMP
17360 RED HAWK CT
MOUNT VERNON, WA 98274-7797
Phone number: 360-610-1089