Individual
MISS REANNA LEODONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
284 LEE ST SW, SUITE 128, TUMWATER, WA 98501
(360) 489-0469
(360) 489-0468
Mailing address
284 LEE ST SW, SUITE 128, TUMWATER, WA 98501-4403
(360) 489-0469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012042
WA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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