Individual
ANASTACIA M CANDAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19102 STATE ROUTE 410 E STE A, BONNEY LAKE, WA 98391-8449
(253) 863-6378
Mailing address
11015 185TH AVE E, BONNEY LAKE, WA 98391-6045
(253) 508-4643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60615884
WA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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