Individual
DELORIS ANN LIZOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 MORRIS STREET, LACONNER, WA 98257
(360) 446-4050
Mailing address
15683 FIELD RD, BOW, WA 98232-9150
(360) 766-6444
(360) 766-4205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011791
WA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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