Individual
DIANE K RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
639 SUNSET PARK DR, SUITE 103, SEDRO WOOLLEY, WA 98284-1540
(360) 770-4530
(360) 826-4567
Mailing address
8126 LENA LN, CONCRETE, WA 98237-9303
(360) 770-4530
(360) 826-4567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60040596
WA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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