Individual
ALEXIS REA MINIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 423-3482
Mailing address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 431-5845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60937610
WA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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