Individual
DANIELLE AVIVA CORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4500 9TH AVE NE, SUITE 300, SEATTLE, WA 98105
(206) 229-5627
(206) 829-2401
Mailing address
PO BOX 5561, SHORELINE, WA 98155
(206) 229-5627
(206) 829-2401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012295
WA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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