Individual
CRYSTAL HICKS-PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 W 16TH ST, HOLLAND, MI 49423-3418
(425) 418-7425
Mailing address
336 W 16TH ST, HOLLAND, MI 49423-3418
(425) 418-7425
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MA00018204
WA
225700000X
Massage Therapist
Primary
MA00018204
WA
Other
Enumeration date
06/17/2014
Last updated
06/12/2022
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