| NPI | 1205192671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENDA L FRY Licensed Massage Practitioner 509-220-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MA60258369) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |