Individual
DEBRA SUSAN ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7503 196TH ST SW, LYNNWOOD, WA 98036-5079
(425) 775-8000
Mailing address
757 14TH WAY SW, EDMONDS, WA 98020-6612
(480) 580-5143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60086280
WA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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