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Individual

DARREN ERNST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
1817 QUEEN ANNE AVE N STE 305, SEATTLE, WA 98109-2876
(206) 446-9554
Mailing address
8845 MIDVALE AVE N APT 104, SEATTLE, WA 98103-4081

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00012828
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 00012828
MASSAGE THERAPY
WA
Enumeration date
09/29/2010
Last updated
09/29/2010
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