Organization
LAVENDER LUXE MASSAGE
Active
Other names
Lavender luxe massage
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M DOWNING LMT (OWNER)
(509) 992-9129
Entity
Organization
Contact information
Practice address
100 3RD ST STE 100, DAVENPORT, WA 99122-5008
(509) 725-3333
(509) 725-3334
Mailing address
PO BOX 321, DAVENPORT, WA 99122-0321
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588107767
NPI
WA
Enumeration date
03/25/2020
Last updated
03/25/2020
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