AMANDA LONGAN

SHELTON, WA
NPI1578931218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60568438)
Enumeration Date2015-09-11
Last Update Date2015-09-11
Business Address
-- AMANDA LONGAN
2236 CALLANAN ST
SHELTON, WA 98584-1904
Phone number: 360-490-0498
Mailing Address
-- AMANDA LONGAN
2236 CALLANAN ST
SHELTON, WA 98584-1904
Phone number: 360-490-0498
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