Individual
MRS. ELLEN JEAN MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1601 COLUMBIA PARK TRL STE 101, RICHLAND, WA 99352-4772
(509) 591-0462
Mailing address
2814 S DAYTON ST, KENNEWICK, WA 99337-5056
(509) 737-7042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60861804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60861804
WA STATE DEPT OF HEALTH
WA
Enumeration date
01/12/2019
Last updated
01/12/2019
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