Individual
CRISTINA TISCARENO-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1618 ISAACS STREET, WALLA WALLA, WA 99362
(509) 301-7922
Mailing address
721 SE 4TH ST APT E, COLLEGE PLACE, WA 99324-2301
(509) 301-7922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60354201
WA
Other
Enumeration date
10/03/2013
Last updated
07/19/2021
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