Individual
ALYSSA IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2376 MAIN ST STE 1, FERNDALE, WA 98248-8605
(360) 312-4656
(360) 392-8732
Mailing address
PO BOX 1256, FERNDALE, WA 98248-1256
(360) 312-4656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60804416
WA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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