Provider First Line Business Practice Location Address:
115 BURNETT AVE S STE B
Provider Second Line Business Practice Location Address:
MASSAGE FOR HEALTHY LIVING
Provider Business Practice Location Address City Name:
RENTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98057-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-785-0904
Provider Business Practice Location Address Fax Number:
206-333-1564
Provider Enumeration Date:
03/26/2007