MS. Alis Mendoza, MASSAGE THERAPIST
NPI #1548499502 in Othello, Washington
Provider Information
- NPI Number
- 1548499502
- Entity Type
- Individual
- Name
- MS. Alis Mendoza, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Jul 10, 2009
- Last Updated
- Jul 10, 2009
Practice Location
- Address
- 116 S 1ST AVE
- City
- Othello
- State
- Washington
- ZIP Code
- 99344-1304
- Phone
- (509) 855-6921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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