Individual
MARCIE LYNN DURALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8609 82ND ST SW, APT 202, LAKEWOOD, WA 98498-7242
(845) 797-7081
Mailing address
8609 82ND ST SW, APT 202, LAKEWOOD, WA 98498-7242
(845) 797-7081
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
OC 60336894
WA
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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