| NPI | 1013453554 |
|---|---|
| Doing Business As | HAWKS PRAIRIE MASSAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMIL ELLINGER Owner/Registered Agent 360-951-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WA 603440613) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |