Organization
HERBAN OASIS
Active
Other names
Diane Young LMT
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE YOUNG LMT (OWNERPRESIDENT)
(509) 953-1121
Entity
Organization
Contact information
Practice address
4611 N VISTA RD, SPOKANE, WA 99212-1728
(509) 953-1121
(509) 928-5863
Mailing address
4611 N VISTA RD, SPOKANE, WA 99212-1728
(509) 953-1121
(509) 928-5863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101305
LABOR & INDUSTRIES
WA
Enumeration date
03/27/2007
Last updated
07/20/2011
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