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Shonelle Uilani Pascua Gongob, LMP
Massage Therapist in Lakewood, Washington
NPI 1245588490

Shonelle Uilani Pascua Gongob is a Massage Therapist based in Fircrest, WA. Shonelle Uilani Pascua Gongob practices in Lakewood, WA and has the professional credentials of LMP. The NPI Number for Shonelle Uilani Pascua Gongob is 1245588490 and holds a License No. MA60290683 (Washington).

The current practice location address for Shonelle Uilani Pascua Gongob is 7308 Bridgeport Way W, Lakewood, WA and can be reached out via phone at 253-582-8142 and via fax at 253-582-8160. You can also correspond with Shonelle Uilani Pascua Gongob through the mailing address at 4040 ORCHARD ST W, FIRCREST, WA - 98466-6606 (mailing address contact number: 253-564-1560).

Location: 7308 Bridgeport Way W, Lakewood, WA, 98466-6606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245588490
Provider Name
Shonelle Uilani Pascua Gongob
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
7308 Bridgeport Way W, Lakewood, WA, 98466-6606
Phone Number
253-582-8142
Fax Number
253-582-8160
Provider Enumeration Date
08/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7308 Bridgeport Way W
City
Lakewood
State
Washington
Zip
98499-8000
Phone Number
253-582-8142
Fax Number
253-582-8160
person
Provider Business Mailing Address Details
Address
7308 Bridgeport Way W
City
Lakewood
State
Washington
Zip
98499-8000
Phone Number
253-582-8142
Fax Number
253-582-8160
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60290683 (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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