Individual
DESIREE TARA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
300 SW 7TH AVE UNIT 124, BATTLE GROUND, WA 98604-8432
(360) 772-8941
Mailing address
300 SW 7TH AVE UNIT 124, BATTLE GROUND, WA 98604-8432
(360) 772-8941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60216495
WA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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