Individual
COLEEN RHALENA RENEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
219 W 3RD AVE, ELLENSBURG, WA 98926-3026
(509) 925-4533
Mailing address
219 W 3RD AVE, ELLENSBURG, WA 98926-3026
(509) 925-4533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006976
WA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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