Individual
DANICA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18730 33RD AVE W STE 100, LYNNWOOD, WA 98037-4756
(425) 774-8600
(425) 744-8656
Mailing address
16520 LARCH WAY UNIT G204, LYNNWOOD, WA 98037-8120
(360) 268-3544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60309774
WA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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