Individual
ARIEL LEILANI FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21651 E COUNTRY VISTA DR STE F, LIBERTY LAKE, WA 99019-7709
(509) 319-2310
(509) 319-2341
Mailing address
21651 E COUNTRY VISTA DR STE F, LIBERTY LAKE, WA 99019-7709
(509) 319-2310
(509) 319-2341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61173178
WA
Other
Enumeration date
11/06/2023
Last updated
11/14/2023
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