Individual
CRYSTAL VIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 NE 109TH CT STE F, VANCOUVER, WA 98662-6104
(360) 574-3141
Mailing address
5500 NE 109TH CT STE F, VANCOUVER, WA 98662-6104
(360) 949-3157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA604151173
WA
Other
Enumeration date
12/10/2013
Last updated
11/21/2023
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