Individual
CLARISSA ASENATH LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Mailing address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60063480
WA
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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