Individual
ANGELA RENEE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
712 S YOLO ST, KENNEWICK, WA 99336-9606
(509) 440-3069
Mailing address
712 S YOLO ST, KENNEWICK, WA 99336-9606
(509) 440-3069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61003108
WA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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