Individual
MRS. CANDICE M ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23410 E MISSION AVE, LIBERTY LAKE, WA 99019-7515
(509) 999-4780
(509) 924-8242
Mailing address
23410 E MISSION AVE, LIBERTY LAKE, WA 99019-7515
(509) 999-4780
(509) 924-8242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019234
WA
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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