Individual
DANETTE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
601 E 22ND ST, VANCOUVER, WA 98663-3208
(360) 773-4765
Mailing address
601 E 22ND ST, VANCOUVER, WA 98663-3208
(360) 773-4765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60175062
WA
Other
Enumeration date
10/05/2010
Last updated
08/30/2012
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