Individual
EULA M. HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
325 WELLSIAN WAY, RICHLAND, WA 99354
(208) 731-2393
Mailing address
2408 SOUTH OAK STREET, KENNEWICK, WA 99337
(208) 731-2393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60199842
WA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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