Individual
DEIRDRE KIM MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE PRACTITIONER
Contact information
Practice address
660 EVERGREEN WAY, AVALON MASSAGE & DAY SPA, SEQUIM, WA 98382
(360) 582-9977
Mailing address
164 CREEKSIDE DR, SEQUIM, WA 98382-8304
(360) 808-1920
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00021540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218884
DEPARTMENT OF LABOR & INDUSTIRES
WA
Enumeration date
12/01/2008
Last updated
12/01/2008
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