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Angela Irvine, LMP

Massage Therapist in Tukwila, WA. Individual provider (NPI-1).

NPI number1104982297
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104982297
Entity type
Individual (NPI-1)
Name
Angela Irvine
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA00004849WAYes

Practice location

15627 47th Ave S
Tukwila, WA 98188-2716

Phone 206-439-1824 · Fax 206-439-1824

Mailing address

15627 47th Ave S
Tukwila, WA 98188-2716

Phone 206-439-1824 · Fax 206-439-1824

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