MS. Emily Licastro, LMP

NPI #1184022436 in Langley, Washington

Provider Information

NPI Number: 1184022436
Entity Type: Individual
Name: MS. Emily Licastro, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Dec 17, 2014
Last Updated: Dec 17, 2014

Practice Location

Address: 5603 BAYVIEW RD # 13
City: Langley
State: Washington
ZIP Code: 98260-9735
Phone: (360) 321-5171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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