Individual
CINNAMON ROSE BONIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE LICENSE
Contact information
Practice address
18927 33RD AVE W, STE B, LYNNWOOD, WA 98036-4726
(425) 776-1177
Mailing address
22215 39TH AVE W, MOUNTLAKE TERRACE, WA 98043-4242
(206) 226-7094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014908
WA
Other
Enumeration date
11/07/2006
Last updated
02/09/2015
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