Individual
MRS. AMBER RAYNEE BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S 40TH AVE STE 18, YAKIMA, WA 98908-3867
(509) 965-0100
(509) 902-8118
Mailing address
1015 S 40TH AVE STE 18, YAKIMA, WA 98908-3867
(509) 965-0100
(509) 902-8118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60934621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60934621
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/13/2019
Last updated
05/13/2019
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