NPI 1053566208

Deirdre Kim Milligan, MASSAGEPRACTITIONER

Practitioner Contractor Sequim, WA

Practice location

Address: 660 Evergreen Way Avalon Massage & Day Spa, Sequim, WA 98382
Phone: (360) 582-9977
Mailing address: 164 Creekside Dr, Sequim, WA 98382-8304

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00021540 (WA)

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Registry record

NPI: 1053566208
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2008
Record last updated: 1 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.