Individual
MR. DANE MORONI GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 INCHELIUM HWY, KETTLE FALLS, WA 99141-9471
(509) 738-9900
Mailing address
461 INCHELIUM HWY, KETTLE FALLS, WA 99141-9471
(509) 738-9900
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6757287-4701
UT
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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