Liess, Pandora Justina
Liess, Pandora Justina is an sole proprietor health care provider with primary practice located at 4791 W Van Giesen St , West Richland WA 99353-5085. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Liess, Pandora Justina can be contacted via phone (509) 967-2225.Contact Information
Primary practice address
4791 W Van Giesen St
West Richland WA 99353-5085
Phone: (509) 967-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 61104204 | Washington |
Profile Details
| NPI number | 1124782271 |
|---|---|
| LBN Legal business name | Liess, Pandora Justina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2021 |
| Last updated | Oct 25th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124782271 | NPPES |
| Washington | Other | 61104204 | MASSAGE THERAPIST |
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