Individual
CHRISTA MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4791 W VAN GIESEN ST STE B, WEST RICHLAND, WA 99353-5085
(509) 967-2225
(509) 967-2900
Mailing address
PO BOX 4665, WEST RICHLAND, WA 99353-4011
(509) 967-2225
(509) 967-2900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60167272
WA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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