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Individual

ALYSSA RYAN PORCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
51 W DAYTON ST STE 304, EDMONDS, WA 98020-4111
(425) 582-0884
(457) 778-2604
Mailing address
51 W DAYTON ST STE 304, EDMONDS, WA 98020-4111
(425) 582-0884
(425) 778-2604

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60847344
WA

Other

Enumeration date
07/25/2018
Last updated
07/25/2018
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