Individual
ELIANNETTE ENID ESTEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60615915
Contact information
Practice address
6019 ALAMEDA AVE W, UNIVERSITY PLACE, WA 98467-2818
(253) 431-4437
Mailing address
6019 ALAMEDA AVE W, UNIVERSITY PLACE, WA 98467-2818
(253) 431-4437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60615915
WA
405300000X
Prevention Professional
Primary
MA60615915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
MASSAGE
WA
Enumeration date
04/03/2017
Last updated
12/07/2020
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