Individual
MS. CARMEN DIANA LET I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
31845 18TH AVE SW APT A, FEDERAL WAY, WA 98023-5156
(206) 249-5836
Mailing address
31845 18TH AVE SW APT A, FEDERAL WAY, WA 98023-5156
(206) 249-5836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60632461
WA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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