GREY LUNA JACK RIVERSTONE

REDMOND, WA
NPI1235980210
Former NameJENNIFER ANNE SACKETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00023063)
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
GREY LUNA JACK RIVERSTONE
16398 NE 85TH ST STE 100
REDMOND, WA 98052-3555
Phone number: 425-636-1569
Mailing Address
GREY LUNA JACK RIVERSTONE
21040 NE WOODINVILLE DUVALL RD
WOODINVILLE, WA 98077-7748
Phone number: 425-505-7747