Individual
DIANE CATHLEEN CHARMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,LMT
Contact information
Practice address
4714 NE 72ND AVE, APT 163, VANCOUVER, WA 98661-8111
(206) 963-9594
Mailing address
4714 NE 72ND AVE, APT 163, VANCOUVER, WA 98661-8111
(206) 963-9594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004306
WA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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