CHARLES RANDOLPH FISK

BONNEY LAKE, WA
NPI1275719494
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00017977)
Enumeration Date2008-01-17
Last Update Date2010-11-18
Business Address
Mr. CHARLES RANDOLPH FISK LMP
18124 114TH ST E
BONNEY LAKE, WA 98391-5168
Phone number: 253-229-5819
Mailing Address
Mr. CHARLES RANDOLPH FISK LMP
18124 114TH ST E
BONNEY LAKE, WA 98391-5168
Phone number: 253-229-5819