Individual
DANIELLE BOSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 112, LAKEWOOD, WA 98499-1300
(210) 204-9588
Mailing address
2606 92ND ST S, LAKEWOOD, WA 98499-9376
(210) 204-9588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61542302
WA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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