Individual
BETH LYNETTE TOMMILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1720 3RD ST SW, PUYALLUP, WA 98372
(253) 904-8954
Mailing address
8234 E B ST, TACOMA, WA 98404-1031
(253) 495-4972
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60344116
WA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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