Individual
DAHLI A. SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
361 E MAIN ST, OTHELLO, WA 99344-1055
(509) 488-3346
Mailing address
3350 ROAD 12 SW, ROYAL CITY, WA 99357-9713
(509) 989-7801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60018962
WA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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