Organization
LORA'S MASSAGE & AROMATHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA DENEEN SMITH MA 60247742 (LICENCED MASSAGE PRACTITIONER/ SPA)
(253) 330-1583
Entity
Organization
Contact information
Practice address
12211 EDGEWOOD AVE SW, APT.# 12, LAKEWOOD, WA 98498-1201
(253) 330-1583
Mailing address
12211 EDGEWOOD AVE SW, APT.# 12, LAKEWOOD, WA 98498-1201
(253) 330-1583
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
MA60247742
WA
305S00000X
Point of Service
MA60247742
WA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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