Individual
EDGAR DAMIAN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3908 CREEKSIDE LOOP STE 110, YAKIMA, WA 98902-4858
(509) 571-1081
Mailing address
605 N 11TH ST UNIT A, SELAH, WA 98942-1760
(509) 964-6555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61402981
WA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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