Individual
FELISA J HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE PRACTITIONER
Contact information
Practice address
24 PRAIRIE GARDENS RD, HUMPTULIPS, WA 98552
(360) 987-2274
(360) 987-2275
Mailing address
PO BOX 198, HUMPTULIPS, WA 98552-0198
(360) 987-2274
(360) 987-2275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021558
WA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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