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Organization
LWJH LLC OLYMPIC DAY SPA
Active
Organization
LWJH LLC OLYMPIC DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CANCEL (BILLING)
(360) 697-3767
Entity
Organization
Contact information
Practice address
18820 FRONT ST, POULSBO, WA 98370
(360) 697-3767
Mailing address
PO BOX 2706, POULSBO, WA 98370-2706
(360) 697-3767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006874
WA
225700000X
Massage Therapist
MA00017400
WA
225700000X
Massage Therapist
MA00018810
WA
225700000X
Massage Therapist
MA00019751
WA
225700000X
Massage Therapist
MA00020574
WA
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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