Individual
MR. DONALD ALAN HARKCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
202 N. TOWER AVE #A, CENTRALIA, WA 98531
(360) 330-9262
Mailing address
4115 15TH AVE. NE, SUITE F, LACEY, WA 98516
(360) 790-7797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA20976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214291
DEPT OF LABOR & INDUSTRY
WA
Enumeration date
01/09/2007
Last updated
07/08/2007
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