Individual
DIANA-JEAN MAGTANONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11014 SE 192ND ST, RENTON, WA 98055-7432
(206) 605-3821
Mailing address
24505 183RD CT SE, COVINGTON, WA 98042-5323
(206) 605-3821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60534651
WA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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