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Organization

DRAGONFLY MEDICAL MASSAGE STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JERICA LENNARTZ MORTIMER LMT (LICENSED MASSAGE THERAPIST)
(509) 961-8314
Entity
Organization

Contact information

Practice address
3405 W NOB HILL BLVD STE A, YAKIMA, WA 98902-4732
(509) 961-8314
(509) 588-7916
Mailing address
3003 W VIOLA AVE, YAKIMA, WA 98902-4939
(509) 961-8314
(509) 588-7916

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA61018816
MASSAGE THERAPY
WA
Enumeration date
09/18/2020
Last updated
09/18/2020
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