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Individual

ANGIELA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
873 BETHEL AVE, PORT ORCHARD, WA 98366-4229
(360) 876-1500
(360) 876-1666
Mailing address
PO BOX 103, PORT ORCHARD, WA 98366-0103
(360) 876-1500
(360) 876-1666

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022576
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0214679
LABOR INDUSTRIES NUMBER
WA
Enumeration date
05/29/2007
Last updated
07/09/2007
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