Individual
MISS AMANDA LORRAINE NESARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1108 MEADE AVE, PROSSER, WA 99350-1367
(509) 781-6235
Mailing address
1902 S 52ND AVE, YAKIMA, WA 98903-1016
(509) 910-1250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60355874
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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