Individual
CHRISTINA MARIE DEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9100 15TH AVE NE, SEATTLE, WA 98115-3112
(206) 661-2360
Mailing address
9100 15TH AVE NE, SEATTLE, WA 98115-3112
(206) 661-2360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60226311
WA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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