Organization
ELAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JANE ROBERTS (OWNER/MANAGER)
(206) 276-0754
Entity
Organization
Contact information
Practice address
833 FRONT ST, SUITE 43, LEAVENWORTH, WA 98826-1378
(206) 276-0754
Mailing address
219 8TH ST, UPPR, LEAVENWORTH, WA 98826-1304
(206) 276-0754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60580382
WA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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