Organization
FERN & FAE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL M CLARK LMT (CO-OWNER/LMT)
(360) 313-6465
Entity
Organization
Contact information
Practice address
100 E 19TH ST STE 500, VANCOUVER, WA 98663-3385
(360) 313-6465
Mailing address
100 E 19TH ST STE 500, VANCOUVER, WA 98663-3385
(360) 313-6465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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