Most Relevant Information
Provider Data
| NPI Number: | 1003439282 |
| Provider Name: | MAIVNKAUJ ZOE GOERTZEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60943549 |
Most Important Dates
| Enumeration Date: | 05/22/2020 |
| Last Updated: | 05/22/2020 |
Provider Practice Location
10 N EVERGREEN RD
SPOKANE VALLEY
WA
992165083
Practice Location Phone/Fax
| Phone: | 5093092603 |
| Fax: |
Provider Mailing Location
10 N EVERGREEN RD
SPOKANE VALLEY
WA
992165083
Provider Mailing Phone/Fax
| Phone: | 5093092603 |
| Fax: |