Individual
MRS. ELVA ELIZABETH COSGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1212 144TH PL SE, MILL CREEK, WA 98012-1384
(508) 440-9387
Mailing address
1212 144TH PL SE, MILL CREEK, WA 98012-1384
(508) 440-9387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60716360
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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