Individual
HALEY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 LONDONDERRY LOOP NW, BREMERTON, WA 98312-1189
(360) 451-9649
Mailing address
5659 LONDONDERRY LOOP NW, BREMERTON, WA 98312-1189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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