Individual
ANGELA RENEE DAHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10312 120TH ST E STE 9, PUYALLUP, WA 98374-2100
(253) 442-1928
Mailing address
13011 MERIDIAN E APT H212, PUYALLUP, WA 98373-9473
(916) 817-7772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
34643
CA
225700000X
Massage Therapist
Primary
MA.60944090
WA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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