Individual
ALICIA MARIE MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5213 PACIFIC AVE, #3, TACOMA, WA 98408-7695
(253) 474-1234
Mailing address
35716 22ND PL S, #C, FEDERAL WAY, WA 98003-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60134532
WA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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