STACIE LEE GROGAN

PUYALLUP, WA
NPI1669595807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00013641)
Enumeration Date2007-04-10
Last Update Date2013-08-07
Business Address
Mrs. STACIE LEE GROGAN LMP
11108 WOODLAND AVE E
PUYALLUP, WA 98373-5893
Phone number: 253-845-5358
Mailing Address
Mrs. STACIE LEE GROGAN LMP
4604 STIKES DR SE
LACEY, WA 98503-5972
Phone number: 253-223-0945