Individual
EBENEZER WILLIAM ALLEN DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
553 ROOSEVELT AVE STE 204, ENUMCLAW, WA 98022-2990
(253) 289-4463
Mailing address
553 ROOSEVELT AVE STE 204, ENUMCLAW, WA 98022-2990
(253) 289-4463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61403991
WA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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