Individual
ANGELA A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 104TH STREET CT S APT J102, TACOMA, WA 98444-1677
(206) 962-0773
Mailing address
1911 104TH STREET CT S APT J102, TACOMA, WA 98444-1677
(206) 962-0773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60939482
WA
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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