AMANDA LYNN BALLARD

PORT ORCHARD, WA
NPI1801112362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA 60137523)
Enumeration Date2010-04-08
Last Update Date2010-04-08
Business Address
-- AMANDA LYNN BALLARD LMP
5710 SW DAISY ST
PORT ORCHARD, WA 98367-7350
Phone number: 360-649-2461
Mailing Address
-- AMANDA LYNN BALLARD LMP
PO BOX 358
BURLEY, WA 98322-0358
Phone number: 360-649-2461
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