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Individual

MS. JAYA CONSER LAPHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
WA
225700000X
Massage Therapist
Primary
5084
OR
376K00000X
Nurse's Aide
OR
376K00000X
Nurse's Aide
WA

Other

Enumeration date
06/25/2011
Last updated
06/25/2011
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