Individual
DINEL ROSE KONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
510 E MAIN STE A, PUYALLUP, WA 98372-5612
(253) 841-4425
Mailing address
4602 N 42ND ST, TACOMA, WA 98407-4921
(253) 651-8302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009196
WA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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