Organization
AMBIANCE MASSAGE & SPA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRYSTAL LYNN SHOPE LMP (OWNER/PRESIDENT)
(360) 537-5914
Entity
Organization
Contact information
Practice address
501 N BROADWAY ST, ABERDEEN, WA 98520-3924
(360) 537-5914
(360) 532-1059
Mailing address
PO BOX 1244, ABERDEEN, WA 98520-0246
(360) 537-5914
(360) 532-1059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019187
WA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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