Individual
HEAVEN LEIGH RUNIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CASASSA RD, CLE ELUM, WA 98922-7700
(509) 929-3035
Mailing address
1810 CASASSA RD, CLE ELUM, WA 98922-7700
(509) 929-3035
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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