Organization
DIANA NELSON MASSAGE LLC
Active
Organization
DIANA NELSON MASSAGE LLC
Active
Parent organization
DIANA NELSON MASSAGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIANA NELSON MASSAGE LLC
Authorized official
MRS. DIANA JO NELSON LMP (LICENSED MASSAGE PRACTITIONER)
(509) 301-3859
Entity
Organization
Contact information
Practice address
401 W MAIN ST # 105, WALLA WALLA, WA 99362-2837
(509) 301-3859
Mailing address
401 W MAIN ST # 105, WALLA WALLA, WA 99362-2837
(509) 301-3859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60654108
WA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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