Individual
MISS HANNAH MACKENZIE LISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
27525 LINDVOG RD NE, KINGSTON, WA 98346-9603
(360) 621-4080
Mailing address
27525 LINDVOG RD NE, KINGSTON, WA 98346-9603
(360) 621-4080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60152331
WA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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