Individual
ALEX DONAHOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15099 DEFIANCE DR SE, OLALLA, WA 98359-8513
(360) 362-6563
Mailing address
15099 DEFIANCE DR SE, OLALLA, WA 98359-8513
(360) 362-6563
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60615526
WA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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