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Individual

WHITNEY MARIE BILLINGSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
828 S 2ND AVE, WALLA WALLA, WA 99362-4059
(509) 522-5388
Mailing address
1115 SE COLONIAL DR, COLLEGE PLACE, WA 99324-1803
(208) 899-1929

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 00024247
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 00024247
WASHINGTON STATE MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
09/09/2012
Last updated
09/09/2012
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