Individual
CLARISSA DYANN WHITEHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
610 N. MISSION ST, STE 102, WENATCHEE, WA 98801-1978
(509) 662-4711
Mailing address
610 N MISSION ST, SUITE 102, WENATCHEE, WA 98801-2065
(509) 662-4711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60304173
WA
Other
Enumeration date
09/04/2012
Last updated
03/19/2014
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