Individual
ERICA MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
613 S WASHINGTON ST, STE 203, SPOKANE, WA 99204-2535
(509) 999-3733
Mailing address
PO BOX 519, GREENACRES, WA 99016-0519
(509) 999-3733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60418228
WA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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