Individual
EVAN WEAGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 E 8TH ST, PALOUSE, WA 99161-7001
(509) 288-2963
Mailing address
1175 E 8TH ST, PALOUSE, WA 99161-7001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61485440
WA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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