Individual
DALE G WANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1140 140TH AVE NE STE A, BELLEVUE, WA 98005-2975
(425) 957-0761
(425) 957-1156
Mailing address
815 RYAN AVE, SUMNER, WA 98390-1428
(253) 282-2450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024926
WA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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