Individual
CASSANDRA LOUISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13003 SE KENT KANGLEY RD, SUITE 110, KENT, WA 98030-7919
(253) 638-2424
Mailing address
26538 175TH AVE SE, COVINGTON, WA 98042-4912
(253) 951-2783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021013
WA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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