Individual
CLAIRE DIERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
302 MAPLE AVE, SNOHOMISH, WA 98290-2526
(360) 568-3319
Mailing address
33342 NE 118TH PL, CARNATION, WA 98014-7113
(909) 477-7059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61492151
WA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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