Organization
MASSAGE RADIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE C. PALMER LMP (OWNER/MANAGER)
(360) 540-1900
Entity
Organization
Contact information
Practice address
2108 RIVERSIDE DR, MOUNT VERNON, WA 98273-5406
(360) 540-1900
Mailing address
2420 E MEADOW BLVD, MOUNT VERNON, WA 98273-2374
(360) 540-1900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA00024680
WA
Other
Enumeration date
09/14/2007
Last updated
11/18/2015
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