Individual
CARISSA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17615 85TH AVENUE CT E, PUYALLUP, WA 98375-1902
(253) 848-6603
Mailing address
16022 17TH AVENUE CT E, TACOMA, WA 98445-3310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61007855
WA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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