STACEY L NICKERSON

VANCOUVER, WA
NPI1144544123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00021266)
Enumeration Date2010-03-20
Last Update Date2010-03-20
Business Address
STACEY L NICKERSON LMP
3000 SE 164TH AVE STE # 102
VANCOUVER, WA 98683-9314
Phone number: 360-896-6037
Mailing Address
STACEY L NICKERSON LMP
3000 SE 164TH AVE STE # 102
VANCOUVER, WA 98683-9314
Phone number: 360-896-6037
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