Individual
MISS ADENA KESSIAH SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
451 S 7TH AVE, SEQUIM, WA 98382-3635
(360) 460-0439
Mailing address
451 S 7TH AVE, SEQUIM, WA 98382-3635
(360) 460-0439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60063557
WA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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