Individual
GALINA MIRONOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 SE 192ND AVE, CAMAS, WA 98607-7479
(360) 833-2868
Mailing address
2907 NE DELANCEY CT, VANCOUVER, WA 98682-8740
(360) 604-8995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60264804
WA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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