Individual
FEARECIA MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12727 W 14TH AVE, AIRWAY HEIGHTS, WA 99001-9409
(509) 244-4818
(509) 244-8945
Mailing address
12721 E SHANNON AVE, #C143, SPOKANE VALLEY, WA 99216-1651
(208) 290-7704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60351855
WA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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