Individual
HEATHER CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 MERIDIAN AVE #1, MILTON, WA 98354
(253) 952-0302
Mailing address
22415 SE 267TH ST, MAPLE VALLEY, WA 98038-7411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61031425
WA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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