Individual
CHANTE ROSE NYE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15220 SE 272ND ST STE G, KENT, WA 98042-4241
(253) 630-6768
Mailing address
2203 BLAINE CIR SE, RENTON, WA 98055-4503
(360) 584-2742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60253863
WA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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