Organization
AMBIANCE MASSAGE AND SPA
Active
Organization
AMBIANCE MASSAGE AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL SHOPE LMP (OWNER)
(360) 537-5914
Entity
Organization
Contact information
Practice address
301 N BROADWAY ST, ABERDEEN, WA 98520-3933
(360) 537-5914
Mailing address
301 N BROADWAY ST, PO BOX 1244, ABERDEEN, WA 98520-3933
(360) 537-5914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60406043
WA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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