LISA LARAE STAM

VANCOUVER, WA
NPI1992724850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  00019362)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Mrs. LISA LARAE STAM
410 E 20TH ST SUITE #7
VANCOUVER, WA 98663
Phone number: 360-608-1806
Mailing Address
Mrs. LISA LARAE STAM
17906 SE 16TH ST
VANCOUVER, WA 98683
Phone number: 360-608-1806
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