Individual
DANIEL SCOT GODBOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP, CN
Contact information
Practice address
11803 93RD AVE NE, APT 106, KIRKLAND, WA 98034-3641
(425) 219-7233
Mailing address
11803 93RD AVE NE, APT 106, KIRKLAND, WA 98034-3641
(425) 219-7233
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
NU60333835
WA
225700000X
Massage Therapist
Primary
MA60519542
WA
Other
Enumeration date
04/10/2015
Last updated
05/18/2015
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