Organization
AVALON SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN ROSENDALE LMP (OWNER)
(360) 490-7012
Entity
Organization
Contact information
Practice address
670 E STRONG RD, SHELTON, WA 98584-8865
(360) 490-7012
Mailing address
670 E STRONG RD, SHELTON, WA 98584-8865
(360) 490-7012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014201
WA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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