Individual
CENISA MIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA61626227
Contact information
Practice address
655 GOLF CLUB PL SE, LACEY, WA 98503-1088
(360) 352-8896
Mailing address
2834A MONFORE DR # A, JOINT BASE LEWIS MCCHORD, WA 98433-1048
(832) 318-9227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61626227
WA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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