Individual
MRS. ELVIRA LILY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3808 TIETON DR STE 1, YAKIMA, WA 98902-3691
(509) 966-3421
(509) 972-0980
Mailing address
408 POPLAR AVE, YAKIMA, WA 98902-2152
(509) 966-3421
(509) 972-0980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60270805
WA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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