Individual
DESIREE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4791 W VAN GIESEN ST, STE B, WEST RICHLAND, WA 99353-5085
(509) 967-2225
Mailing address
3227 W 7TH AVE, KENNEWICK, WA 99336-4643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60250665
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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