STACEY MICHELLE LARSON

PUYALLUP, WA
NPI1124285507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00024472)
Enumeration Date2008-05-21
Last Update Date2008-05-21
Business Address
Miss STACEY MICHELLE LARSON LMP
15412 MERIDIAN E
PUYALLUP, WA 98375-9514
Phone number: 253-273-0177
Mailing Address
Miss STACEY MICHELLE LARSON LMP
13505 111TH STREET CT E
PUYALLUP, WA 98374-2490
Phone number: 253-273-0177
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