Individual
CORAL A VAN DYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
505 E 3RD AVE, SPOKANE, WA 99202-1426
(509) 838-2531
Mailing address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0025124
WA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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