Individual
MRS. CHARYLE RAE TASANASANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P. /MASSAGE THER
Contact information
Practice address
17311 NE 175TH AVE, BUILDING C, SUITE 100, WOODINVILLE, WA 98072
(425) 330-3097
Mailing address
17311 NE 175TH AVE, BUILDING C, SUITE 100, WOODINVILLE, WA 98072
(425) 330-3097
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0018391
WA
Other
Enumeration date
01/07/2019
Last updated
01/08/2019
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