Individual
ERICA ROCHELLE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3307 EVERGREEN WAY, 601, WASHOUGAL, WA 98671-2062
(360) 835-9911
Mailing address
3307 EVERGREEN WAY, 601, WASHOUGAL, WA 98671-2062
(360) 835-9911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60270543
WA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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