Individual
MRS. DOLLY ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6700 NE 162ND AVE, SUITE 415, VANCOUVER, WA 98682-3858
(360) 882-0767
Mailing address
505 E TWIN FALLS ST, PO BOX 281, YACOLT, WA 98675-5576
(360) 524-1420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
03/20/2012
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