Individual
DONALEE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16404 SMOKEY POINT BLVD, SUITE 307, ARLINGTON, WA 98223-8417
(360) 653-0950
(360) 653-9887
Mailing address
16404 SMOKEY POINT BLVD, ARLINGTON, WA 98223-8417
(360) 348-8432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60317639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60317639
MASSAGE LICENCE
WA
Enumeration date
11/06/2013
Last updated
03/17/2016
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