Individual
CRYSTAL EKONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 NE GREENWOOD DR, 120, VANCOUVER, WA 98662-6798
(360) 573-1933
Mailing address
11305 NE 38TH CT, VANCOUVER, WA 98686-3998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60659704
WA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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