Individual
ELIZABETH ROSEMUND CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 147TH STREET CT E, TACOMA, WA 98445-6014
(253) 330-6582
(253) 330-6582
Mailing address
2103 147TH STREET CT E, TACOMA, WA 98445-6014
(253) 330-6582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60829391
WA
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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