Individual
MRS. DANIELLE MARIE WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3500 NE 155TH AVE, VANCOUVER, WA 98682-8496
(360) 721-5333
Mailing address
3500 NE 155TH AVE, VANCOUVER, WA 98682-8496
(360) 721-5333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA OOOO7857
WA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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