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Individual

MS. ALIS MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
116 S 1ST AVE, OTHELLO, WA 99344-1304
(509) 855-6921
(509) 488-0818
Mailing address
1107 E SPRUCE ST, OTHELLO, WA 99344-1568
(509) 855-6921
(509) 488-0818

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023776
WA

Other

Enumeration date
07/10/2009
Last updated
07/10/2009
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