Individual
DINA MARIE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W MAIN ST, CENTRALIA, WA 98531-4245
(360) 429-9349
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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