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Individual

AIYANA AISHA TARYN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
525 5TH AVE S STE 102, EDMONDS, WA 98020-3612
(425) 279-9859
Mailing address
9900 12TH AVE W APT I204, EVERETT, WA 98204-1155
(253) 495-7659

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60887822
WA

Other

Enumeration date
10/24/2018
Last updated
10/24/2018
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