Individual
ELIZABETH MAE GRANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA61481958
Contact information
Practice address
2802 COLBY AVE, EVERETT, WA 98201-3513
(425) 626-6195
Mailing address
1416 E MARINE VIEW DR, EVERETT, WA 98201-1969
(425) 626-6195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61481958
WA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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