Individual
MISS DESIRE ADRIENNA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT LMP
Contact information
Practice address
12305 120TH AVE NE, #A, KIRKLAND, WA 98034
(425) 820-2777
(425) 821-5528
Mailing address
12305 120TH AVE NE, #A, KIRKLAND, WA 98034
(425) 820-2777
(425) 821-5528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205830
L & I
WA
Enumeration date
04/26/2007
Last updated
07/08/2007
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