KELLY DAWN ANISSIPOUR

FEDERAL WAY, WA
NPI1023382306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00009700)
Enumeration Date2012-03-03
Last Update Date2021-09-28
Business Address
Miss KELLY DAWN ANISSIPOUR LMP
33440 1ST WAY S # 8
FEDERAL WAY, WA 98003-6222
Phone number: 206-730-0155
Mailing Address
Miss KELLY DAWN ANISSIPOUR LMP
PO BOX 24924
FEDERAL WAY, WA 98093-1924
Phone number: 206-730-0155
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