Individual
CINDY COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
38579 SE RIVER STREET, SUITE 13, SNOQUALMIE, WA 98065
(425) 208-5048
Mailing address
PO BOX 2355, NORTH BEND, WA 98045-2355
(425) 894-1015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00005988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005988
MASSAGE LISCENSE
WA
Enumeration date
09/01/2016
Last updated
09/01/2016
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