Individual
DEEDRA ANN SIMONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60228974
Contact information
Practice address
16825 48TH AVE W STE 243, LYNNWOOD, WA 98037-6406
(206) 533-3348
Mailing address
18705 126TH AVE NE APT 2703, BOTHELL, WA 98011-9349
(206) 533-3348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60228974
WA
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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