Individual
DORENE A MELTINGTALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8124 E CATALDO AVE, SPOKANE VALLEY, WA 99212-2663
(509) 921-6491
Mailing address
8124 E CATALDO AVE, SPOKANE VALLEY, WA 99212-2663
(509) 921-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023924
WA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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