Provider Demographics
NPI:1285933101
Name:SZABO, ANIKO 0 (LMP)
Entity type:Individual
Prefix:MRS
First Name:ANIKO
Middle Name:0
Last Name:SZABO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MS
Other - First Name:ANIKO
Other - Middle Name:O
Other - Last Name:SZABO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMP
Mailing Address - Street 1:337 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2030
Mailing Address - Country:US
Mailing Address - Phone:503-750-2022
Mailing Address - Fax:360-834-3084
Practice Address - Street 1:337 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2030
Practice Address - Country:US
Practice Address - Phone:503-750-2202
Practice Address - Fax:360-834-3084
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00024060173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist