JASMINE PHOENIX, L.M.P.

Massage Therapist

Active Individual
NPI: 1265642847

Practice Address

12263 NORTH MILL STREET
Clear Lake, WA 98235

Phone: (360) 856-5354

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes MA00000839 (WA)

Frequently Asked Questions

NPI 1265642847 is the National Provider Identifier for JASMINE PHOENIX, L.M.P., a Massage Therapist provider located in Clear Lake, WA. This NPI was enumerated on May 23, 2007.
JASMINE PHOENIX, L.M.P. practices at 12263 NORTH MILL STREET, Clear Lake, WA 98235.

Quick Facts

NPI
1265642847
Type
Individual
Enumerated
May 23, 2007
Last Updated
Jul 8, 2007