JEFF LEE SISCO

BONNEY LAKE, WA
NPI1164631248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00009503)
Enumeration Date2007-05-22
Last Update Date2007-07-09
Business Address
-- JEFF LEE SISCO LMP
21157 STATE ROUTE 410
BONNEY LAKE, WA 98390
Phone number: 253-862-8590
Mailing Address
-- JEFF LEE SISCO LMP
PO BOX 1239
ENUMCLAW, WA 98022
Phone number: 253-862-8590