ELIJAH REUBEN ROQUE

LYNNWOOD, WA
NPI1447620026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA6059228)
Enumeration Date2015-09-25
Last Update Date2015-09-25
Business Address
-- ELIJAH REUBEN ROQUE LMP
19220 74TH AVE W
LYNNWOOD, WA 98036-5063
Phone number: 425-314-9901
Mailing Address
-- ELIJAH REUBEN ROQUE LMP
19220 74TH AVE W
LYNNWOOD, WA 98036-5063
Phone number: 425-314-9901