Organization
CENTURY MASSAGE & BODYWORK, INC
Active
Other names
Century Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYN FRIGILLANA YANCHA LMP (OWNER)
(425) 228-5217
Entity
Organization
Contact information
Practice address
15 S GRADY WAY, SUITE LL25, RENTON, WA 98057-3220
(425) 228-5217
(425) 271-4189
Mailing address
15 S GRADY WAY, SUITE LL25, RENTON, WA 98057-3220
(425) 228-5217
(425) 271-4189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-0196702
WA STATE DEPT OF L&I
WA
01
—
620389900
ACS PROVIDER NUMBER / OWCP
WA
Enumeration date
02/18/2008
Last updated
03/02/2017
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