KRISTIN FAITH BASANTA

CAMAS, WA
NPI1194342790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60758957)
Enumeration Date2020-06-29
Last Update Date2020-06-29
Business Address
KRISTIN FAITH BASANTA LMT
534 NE EVERETT ST
CAMAS, WA 98607-2025
Phone number: 734-649-6949
Mailing Address
KRISTIN FAITH BASANTA LMT
766 W W ST
WASHOUGAL, WA 98671-8645
Phone number: 734-649-6949