Individual
DR. MARK DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMD, LAC
Contact information
Practice address
830 E BROADWAY AVE, MOSES LAKE, WA 98837-5932
(509) 766-4334
Mailing address
PO BOX 381, WILBUR, WA 99185-0381
(509) 766-4334
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
269
WA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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