Individual
MR. DENNIS LEE CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
22617 76TH AVE W, SUITE # 104, EDMONDS, WA 98026-8316
(425) 778-8050
(425) 778-2757
Mailing address
22617 76TH AVE W, SUITE # 104, EDMONDS, WA 98026-8316
(425) 778-8050
(425) 778-2757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023938
WA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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