Individual
BENITA A JANGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16761 NE 79TH ST, REDMOND, WA 98052-4425
(206) 799-1187
(425) 869-7691
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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