LACY JUANELLA WAGNER

YAKIMA, WA
NPI1376200410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA61205126)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
LACY JUANELLA WAGNER Massage therapist
3908 CREEKSIDE LOOP STE 110
YAKIMA, WA 98902-4858
Phone number: 509-571-1081
Mailing Address
LACY JUANELLA WAGNER Massage therapist
808 W ORCHARD AVE
SELAH, WA 98942-1266
Phone number: 509-949-2916