| NPI | 1740420348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PAUL MABRY Owner/ Massage Practitoner 360-427-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WA ma00014205) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |