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Organization

CASCADE RADIANT MASSAGE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA DOUGLAS (OWNER/OPERATOR)
(360) 878-8538
Entity
Organization

Contact information

Practice address
6200 CAPITOL BLVD SE, STE C, TUMWATER, WA 98501-5288
(360) 878-8538
Mailing address
6200 CAPITOL BLVD SE, STE C, TUMWATER, WA 98501-5288
(360) 878-8538

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA15227
WA

Other

Enumeration date
09/25/2009
Last updated
09/25/2009
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