Organization
DE SOLEIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L MILLER (OWNER)
(509) 325-2008
Entity
Organization
Contact information
Practice address
1925 N MONROE ST, SUITE 2, SPOKANE, WA 99205-4539
(509) 325-2008
Mailing address
1925 N MONROE ST, SUITE 2, SPOKANE, WA 99205-4539
(509) 325-2008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602948029
UBI
WA
Enumeration date
02/17/2010
Last updated
02/17/2010
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