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Organization

LUMINOUS MASSAGE & BODY WORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARCEY M IVORY LMT (OWNER/ MASSAGE THERAPIST)
(720) 360-9451
Entity
Organization

Contact information

Practice address
2006 MAIN ST, VANCOUVER, WA 98660-2637
(360) 906-0826
Mailing address
6000 NE 35TH CIR, VANCOUVER, WA 98661-7229
(720) 360-9451

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA60699064
WA

Other

Enumeration date
01/12/2017
Last updated
01/12/2017
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