Individual
DANZEL LEE PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9433 4TH ST NE, SUITE 104, LAKE STEVENS, WA 98258-1653
(206) 714-3512
(425) 397-8681
Mailing address
9433 4TH ST NE, SUITE 104, LAKE STEVENS, WA 98258-1653
(206) 714-3512
(425) 397-8681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60179126
WA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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