Individual
HOLLY ANNE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE PRACTITIONER
Contact information
Practice address
1505 KLA-OOK-WA DR, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Mailing address
1505 KLA-OOK-WA DR, PO BOX 219, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021484
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082191
—
WA
Enumeration date
12/21/2007
Last updated
12/21/2007
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