Organization
JEREMY FERRON STROUD
Active
Other names
Fancy Flamingo Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY STROUD (OWNER/ PROVIDER)
(509) 396-4538
Entity
Organization
Contact information
Practice address
7411 W CLEARWATER AVE STE B, KENNEWICK, WA 99336-1683
(833) 458-5209
(207) 819-3734
Mailing address
1416 FRIES ST, RICHLAND, WA 99352-3958
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
04/28/2025
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