| Ms Ana D Licano, LMP | |
|
310 Division St, Grandview, WA 98930-1359 | |
| (509) 882-3659 | |
| Not Available |
| Full Name | Ms Ana D Licano |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 310 Division St, Grandview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00024915 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ana D Licano, LMP 210 Ash St, Grandview, WA 98930-1319 Ph: (509) 882-5934 | Ms Ana D Licano, LMP 310 Division St, Grandview, WA 98930-1359 Ph: (509) 882-3659 |
Mr. Leslie P. Crone I, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 Division St, Grandview, WA 98930 Phone: 509-882-8001 | |
Christopher Estrada, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-402-9020 Fax: 509-402-9036 | |
Marisol Meza, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Division St, Grandview, WA 98930 Phone: 509-882-1331 Fax: 509-882-2850 | |
Mr. Devin Jay Amaro, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-402-9020 Fax: 509-402-9036 | |
Mrs. Bethany L Conklin, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Euclid Road, Grandview, WA 98930 Phone: 509-882-7888 | |
Leon Socorro Perez, L.M.P. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Euclid Rd., Grandview, WA 98930 Phone: 509-882-7888 Fax: 509-882-6588 |