| Fancy Flamingo Massage | |
|
7411 W Clearwater Ave Ste B Kennewick WA 99336-1683 | |
| (833) 458-5209 | |
| (207) 819-3734 |
| Full Name | Fancy Flamingo Massage |
|---|---|
| Speciality | Clinic/center |
| Location | 7411 W Clearwater Ave Ste B, Kennewick, Washington |
| Authorized Official Name and Position | Jeremy Stroud (OWNER/ PROVIDER) |
| Authorized Official Contact | 5093964538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fancy Flamingo Massage 1416 Fries St Richland WA 99352-3958 | Fancy Flamingo Massage 7411 W Clearwater Ave Ste B Kennewick WA 99336-1683 Ph: (833) 458-5209 |
| NPI Number | 1770263154 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770263154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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