Individual
DIANE MARIE WARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23221 100TH AVE SE, KENT, WA 98031-4229
(253) 813-0138
Mailing address
23221 100TH AVE SE, KENT, WA 98031-4229
(253) 813-0138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009155
WA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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