Individual
HALEY LUCIDO BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 GRAND BLVD STE 102, VANCOUVER, WA 98661-7707
(360) 695-5332
Mailing address
2220 SE 192ND AVE APT B404, VANCOUVER, WA 98683-1444
(334) 235-1981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61295633
WA
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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