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Individual

DIANA LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
13623A BEVERLY PARK RD, LYNNWOOD, WA 98087-1655
(425) 344-8229
Mailing address
13623A BEVERLY PARK RD, LYNNWOOD, WA 98087-1655
(425) 344-8229

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009342
WA

Other

Enumeration date
03/26/2007
Last updated
05/18/2015
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