Individual
GEORGIA RENAE LOOSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14017 N NEWPORT HWY STE C, MEAD, WA 99021-9203
(509) 939-1761
Mailing address
14017 N NEWPORT HWY STE C, MEAD, WA 99021-9203
(509) 939-1761
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023633
WA
Other
Enumeration date
08/17/2007
Last updated
06/03/2024
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