Individual
CARISA ANN TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 W 8TH AVE, SUITE 222, SPOKANE, WA 99204-2565
(509) 624-0567
Mailing address
327 W 8TH AVE, SUITE 222, SPOKANE, WA 99204-2565
(509) 624-0567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128193
LABOR AND INDUSTRIES
WA
Enumeration date
01/20/2007
Last updated
07/08/2007
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