Organization
HEARTSONG MASSAGE, INC.
Active
Other names
Heartsong Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JENI LEE QUIRICONI LMP (PRESIDENT)
(360) 751-3313
Entity
Organization
Contact information
Practice address
1328 9TH AVE, LONGVIEW, WA 98632-3809
(360) 751-3313
(360) 636-5255
Mailing address
1328 9TH AVE, LONGVIEW, WA 98632-3809
(360) 751-3313
(360) 636-5255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MA12619
WA
261QM2500X
Medical Specialty Clinic/Center
Primary
MA12619
WA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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