Individual
DESIREE SHERISE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 NE 136TH AVE APT 199, VANCOUVER, WA 98684-5981
(503) 572-4424
Mailing address
1441 NE 136TH AVE APT 199, VANCOUVER, WA 98684-5981
(503) 572-4424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
21032
NC
225700000X
Massage Therapist
28209
OR
225700000X
Massage Therapist
Primary
MA61531980
WA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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