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Organization

BREATHE YOGA AND MASSAGE, LLC

Active
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Organization

BREATHE YOGA AND MASSAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENAYA VIRGIN LMP (OWNER/MANAGER)
(360) 604-1226
Entity
Organization

Contact information

Practice address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514
(360) 604-1226
Mailing address
17030 SE 1ST ST STE 102, VANCOUVER, WA 98684-8514

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00008425
WA

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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