Individual
MRS. ANGEL NICOLE DENINNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11600 SE MILL PLAIN BLVD STE 3J, VANCOUVER, WA 98684-5083
(360) 253-6674
(360) 253-8670
Mailing address
11600 SE MILL PLAIN BLVD STE 3J, VANCOUVER, WA 98684-5083
(360) 253-6674
(360) 253-8670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60101468
WA
Other
Enumeration date
06/17/2011
Last updated
08/30/2011
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