Individual
MISS DEANNA LYNN HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
220 M ST NE, AUBURN, WA 98002-4427
(253) 333-8736
(253) 735-0902
Mailing address
220 M ST NE, AUBURN, WA 98002-4427
(253) 333-8736
(253) 735-0902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60682422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60682422
MASSAGE THERAPY
WA
Enumeration date
11/08/2016
Last updated
11/08/2016
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