Individual
CHANDRA IFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 TACOMA MALL BLVD # E109, TACOMA, WA 98409-7107
(253) 472-4400
Mailing address
5015 TACOMA MALL BLVD # E109, TACOMA, WA 98409-7107
(253) 472-4400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60217057
WA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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