CALVIN JACKSON

MONROE, WA
NPI1053701003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  ma60431582)
Enumeration Date2015-01-29
Last Update Date2015-01-29
Business Address
-- CALVIN JACKSON
101 E MAIN ST STE 201
MONROE, WA 98272-1519
Phone number: 360-863-0642
Mailing Address
-- CALVIN JACKSON
PO BOX 14072
MILL CREEK, WA 98082-2072
Phone number: