Individual
ANGELA FUENTES-VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 S 1ST ST, SELAH, WA 98942-1339
(509) 697-4123
Mailing address
318 S 1ST ST, SELAH, WA 98942-1339
(509) 697-4123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61039367
WA
Other
Enumeration date
07/22/2020
Last updated
08/28/2020
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