Organization
HYGEIA MASSAGE AND BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA SUZANNE LEACH LMP (OWNER/OPERATOR)
(360) 339-2942
Entity
Organization
Contact information
Practice address
208 CHURCH ST, KELSO, WA 98626-3409
(360) 339-2942
Mailing address
PO BOX 249, KALAMA, WA 98625-0300
(360) 339-2942
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA 60096769
WA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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