Individual
DELTA ELIZABETH O'DELL CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6822 HUSKY WAY SE, LACEY, WA 98503-1438
(360) 259-2072
Mailing address
6822 HUSKY WAY SE, LACEY, WA 98503-1438
(360) 259-2072
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60293779
WA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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