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Individual

DOMONIQUE HERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-7008
Mailing address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-7008

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
225X00000X
Occupational Therapist
Primary
OT60731623
WA

Other

Enumeration date
06/03/2011
Last updated
06/22/2017
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