Individual
HOLLY ADDIE MAE HARRIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 YORK RD S, SEATTLE, WA 98144-7012
(206) 307-4978
Mailing address
3336 YORK RD S, SEATTLE, WA 98144-7012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00013522
WA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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