Individual
MS. HOLLY NOELLE HEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
6334 LITTLEROCK RD SW, BLDG 6, SUITE 101, TUMWATER, WA 98512
(360) 359-2162
(360) 709-9220
Mailing address
6334 LITTLEROCK RD SW, BLDG 6, SUITE 101, TUMWATER, WA 98512
(360) 359-2162
(360) 709-9220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA17411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA17411
HEALTH LICENSE
WA
Enumeration date
11/24/2006
Last updated
07/08/2007
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