| NPI | 1053564666 |
|---|---|
| Other Name | BALLAURA MASSAGE |
| Entity Type | Organization |
| Authorized Contact | NICOLE B BALL President 360-539-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00022961) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2011-04-18 |