Individual
DOUGLYN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60508040
Contact information
Practice address
6204 NE HIGHWAY 99, VANCOUVER, WA 98665-8746
(360) 576-1600
Mailing address
6811 NE 121ST AVE, JJ301, VANCOUVER, WA 98682-5571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60508040
WA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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