Individual
ASHLEY AUTUMN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
612 SAN JUAN AVENUE, FIRCREST, WA 98466
(253) 590-8081
Mailing address
612 SAN JUAN AVENUE, FIRCREST, WA 98466
(253) 590-8081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60072545
WA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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