Individual
DIANA DORIS MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1112 FINNEGAN WAY, BELLINGHAM, WA 98225-6622
(360) 527-9566
Mailing address
205 S BC AVE STE 117, LYNDEN, WA 98264-2053
(707) 397-5592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61610015
WA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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