TIMOTHY D VILLARREAL

MOSES LAKE, WA
NPI1407938145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00021183)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
-- TIMOTHY D VILLARREAL LMP
830 E BROADWAY AVE
MOSES LAKE, WA 98837-5932
Phone number: 509-765-9205
Mailing Address
-- TIMOTHY D VILLARREAL LMP
8828 BROAD ST NE
MOSES LAKE, WA 98837-3508
Phone number: 509-764-2119
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