ELIJAH MAXWELL

CENTRALIA, WA
NPI1275995417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60590359)
Enumeration Date2016-03-27
Last Update Date2016-08-11
Business Address
-- ELIJAH MAXWELL LMP
1639 KRESKY AVE
CENTRALIA, WA 98531-8912
Phone number: 360-807-4711
Mailing Address
-- ELIJAH MAXWELL LMP
3110 LAUREL LN
CENTRALIA, WA 98531-1522
Phone number: 360-819-9728
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