Individual
ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
8221 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8153
(360) 635-3771
Mailing address
15406 NE 47TH CIR, VANCOUVER, WA 98682-6093
(360) 635-3771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024015
WA
Other
Enumeration date
05/18/2007
Last updated
11/05/2008
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