Individual
DORENE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 60429730
Contact information
Practice address
205 E 11TH ST, LL1, VANCOUVER, WA 98660-3200
(360) 905-0101
Mailing address
205 E 11TH ST, LL1, VANCOUVER, WA 98660-3200
(360) 905-0101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60429730
WA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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