Individual
ALEXANDRA NICOLE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15603 MAIN ST, SUITE B106, MILL CREEK, WA 98012-9003
(425) 948-6495
Mailing address
15603 MAIN ST, SUITE B106, MILL CREEK, WA 98012-9003
(425) 948-6495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60185184
WA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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