Individual
FRANCISCO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
130 E CHELAN AVENEU, CHELAN, WA 98816-2888
(509) 682-4078
(509) 682-4079
Mailing address
PO BOX 6, CHELAN, WA 98816-0006
(509) 682-4713
(509) 682-3218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60774891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60774891
STATE LICENSE NUMBER
WA
Enumeration date
02/11/2019
Last updated
10/30/2019
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