Individual
DANIELLE RAE LILLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S PERRY ST, SPOKANE, WA 99202-3464
(509) 294-1276
Mailing address
1621 E COLUMBIA AVE, SPOKANE, WA 99208-2848
(509) 294-1276
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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