Individual
ADRIANA HABERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2079 MILDRED ST W, FIRCREST, WA 98466-6133
(253) 778-0980
Mailing address
9220 TACOMA AVE S, TACOMA, WA 98444-6140
(253) 778-0980
(253) 473-7090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60197035
WA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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