Individual
ALICIA AVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10612 CANYON RD E, PUYALLUP, WA 98373-4257
(253) 302-4817
(253) 507-4381
Mailing address
10722 63RD ST E, PUYALLUP, WA 98372-5842
(253) 720-5682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023008
WA
Other
Enumeration date
08/20/2010
Last updated
07/21/2022
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