Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ANA D LICANO, LMP
Active Sole ProprietorMS. ANA D LICANO, LMP is a Massage Therapist healthcare provider located in GRANDVIEW, Washington. NPI 1104057595 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GRANDVIEW, WA
Registration Details
- NPI Number
- 1104057595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2009 (16.990748147687 yrs)
- Last Updated
- Aug 3, 2009
- License
-
MA00024915 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 DIVISION STGRANDVIEW, WA, 989301359Browse WA providers · Browse ZIP 98930
- Phone
- 5098823659
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GRANDVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| LEON SOCORRO PEREZ | L.M.P. | 1912001173 |
| MRS. BETHANY L CONKLIN | L.M.P. | 1801990072 |
| MR. LESLIE P. CRONE I | L.M.P. | 1023238516 |
| MS. MARIA ELENA VARGAS | LMP | 1356523419 |
| MARISOL MEZA | L.M.P. | 1467683748 |
| ANGELICA OROSCO | LMT | 1730666231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.