Mrs Lyrlene Kqm Javellana, LMP | |
1042 W James St, Suite No 101, Kent, WA 98032-4606 | |
(253) 852-3770 | |
(253) 852-3913 |
Full Name | Mrs Lyrlene Kqm Javellana |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 1042 W James St, Kent, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700910320 | NPI | - | NPPES |
91792822 | Other | WA | EMPLOYER ID NUMBER |
MA00017760 | Other | WA | STATE LICENSE - MASSAGE |
0192232 | Other | WA | L&I PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA00017760 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Lyrlene Kqm Javellana, LMP 28704 235th Ave Se, Maple Valley, WA 98038-3315 Ph: (206) 799-9029 | Mrs Lyrlene Kqm Javellana, LMP 1042 W James St, Suite No 101, Kent, WA 98032-4606 Ph: (253) 852-3770 |
Julie Christine Onefeather, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 28631 153rd Pl Se, Kent, WA 98042 Phone: 253-632-8097 | |
Melissa Suzanne Berens, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 23639 126th Ave Se, Kent, WA 98031 Phone: 253-569-3495 | |
Ronda Kay Knebel, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 Phone: 253-638-2424 | |
Rosa Rene' Sloan, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12629 Se 212th Pl, Kent, WA 98031 Phone: 253-797-2518 | |
Lakisha M. Dickens, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 25012 104th Ave Se, Ste C, Kent, WA 98030 Phone: 253-856-3477 Fax: 253-856-3478 | |
Mrs. Jeri A. Simpson, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Van De Vanter Ave, Kent, WA 98030 Phone: 253-852-5997 | |
Nikki L Paaloalo, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10901 Se 236th Pl, #p201, Kent, WA 98031 Phone: 253-856-3059 |