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Ms. Ana D Licano, LMP
Massage Therapist in Grandview, Washington
NPI 1104057595

Ana D Licano is a Massage Therapist based in Grandview, WA. Ana D Licano practices in Grandview, WA and has the professional credentials of LMP. The NPI Number for Ana D Licano is 1104057595 and holds a License No. MA00024915 (Washington).

The current practice location address for Ana D Licano is 310 Division St, Grandview, WA and can be reached out via phone at 509-882-3659.

Location: 310 Division St, Grandview, WA, 98930-1319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104057595
Provider Name
Ana D Licano
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
310 Division St, Grandview, WA, 98930-1319
Phone Number
509-882-3659
Fax Number
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 Division St
City
Grandview
State
Washington
Zip
98930-1359
Phone Number
509-882-3659
Fax Number
person
Provider Business Mailing Address Details
Address
310 Division St
City
Grandview
State
Washington
Zip
98930-1359
Phone Number
509-882-3659
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00024915 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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