Individual
A. ELLEN SILAS
Active
Individual
A. ELLEN SILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA8023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102079
DEPT OF LABOR & INDUSTRY
WA
01
—
8937824
DEPT OF L&I CRIME VICTIMS
WA
01
—
SI 5001
REGENCE BLUE SHIELD
WA
Enumeration date
03/23/2007
Last updated
07/08/2007
Update your record
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