Individual
MS. ANDREA SARAH VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60969294
Contact information
Practice address
131 MAIN ST., WAITSBURG, WA 99361
(509) 676-9049
Mailing address
355 W 6TH ST, WAITSBURG, WA 99361-9774
(509) 676-9049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60969294
WA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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