STACEY S VANWAVEREN

MOUNT VERNON, WA
NPI1508408303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60973308)
Enumeration Date2019-10-13
Last Update Date2019-10-13
Business Address
STACEY S VANWAVEREN LMT
403 MYRTLE ST
MOUNT VERNON, WA 98273-3849
Phone number: 360-941-9545
Mailing Address
STACEY S VANWAVEREN LMT
3729 SWAN CT
MOUNT VERNON, WA 98273-8578
Phone number: 360-941-9545