Individual
CYNTHIA CALDWELL FLACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA00024718
Contact information
Practice address
8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
(253) 970-8256
Mailing address
7509 133RD ST E, PUYALLUP, WA 98373-2585
(425) 232-7478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00024718
CREDENTIAL
WA
Enumeration date
06/23/2021
Last updated
06/23/2021
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