Individual
DARLA BOMMERSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2503 RACQUET LN, SUITE 100, YAKIMA, WA 98902-6114
(509) 985-6283
Mailing address
PO BOX 2432, YAKIMA, WA 98907-2432
(509) 985-6283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60107868
WA
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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