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Individual
KALA ROSE ZIMMERMANN
Active
Individual
KALA ROSE ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229629
L & I NUMBER
WA
01
—
MA00022889
STATE OF WASHINGTION MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
06/06/2008
Last updated
06/06/2008
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