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Organization
MASSAGE BY WILLOW, INC
Active
Organization
MASSAGE BY WILLOW, INC
Active
Other names
Willow Hajicek, LMP
Organization subpart
No
Provider details
NPI number
Authorized official
WILLOW MICHELLE HAJICEK L.M.P (OWNER)
(360) 921-5004
Entity
Organization
Contact information
Practice address
108 SE 124TH AVE, VANCOUVER, WA 98684-6015
(360) 921-5004
Mailing address
1813 SE 187TH PL, VANCOUVER, WA 98683-9767
(360) 921-5004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA000022694
WA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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