Individual
EILEEN MAE COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13524 BETHEL BURLEY RD SE, PORT ORCHARD, WA 98367-7835
(253) 857-6251
Mailing address
13524 BETHEL BURLEY RD SE, PORT ORCHARD, WA 98367-7835
(253) 857-6251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60066828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248282
WA STATE DEPT OF LABOR AND INDUSTRIES
WA
Enumeration date
08/15/2010
Last updated
08/16/2010
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