Individual
ANGELA IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15627 47TH AVE S, TUKWILA, WA 98188-2716
(206) 439-1824
(206) 439-1824
Mailing address
15627 47TH AVE S, TUKWILA, WA 98188-2716
(206) 439-1824
(206) 439-1824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004849
WA
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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