Individual
MS. DONEAL HALEY PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
430 ORCAS AVE, PORT ANGELES, WA 98362-6511
(360) 460-3762
Mailing address
430 ORCAS AVE, PORT ANGELES, WA 98362-6511
(360) 460-3762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60192672
WA
Other
Enumeration date
08/12/2011
Last updated
11/27/2011
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