Individual
MR. GLYN DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
101 E MAIN ST, SUITE 201, MONROE, WA 98272-1519
(360) 863-0642
(360) 794-7236
Mailing address
3820 NE 155TH PL, #701, LAKE FOREST PARK, WA 98155-6753
(425) 802-1382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011365
WA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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