Organization
A DESTINATION MASSAGE & SPA
Active
Organization
A DESTINATION MASSAGE & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH RENEE DUNCAN-SARGENT LMP (OWNER)
(360) 426-7247
Entity
Organization
Contact information
Practice address
117 N 8TH ST, SHELTON, WA 98584-2564
(360) 427-3189
Mailing address
PO BOX I, SHELTON, WA 98584-0048
(360) 426-7247
(360) 426-7247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019692
WA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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