Individual
DANIELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
703 BROADWAY ST, SUITE 650, VANCOUVER, WA 98660-3276
(360) 690-0081
(360) 690-0083
Mailing address
9211 NE 15TH AVE, APT # D366, VANCOUVER, WA 98665-9126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60188555
WA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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