Individual
DESTINE ELLE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
6808 220TH ST SW, SUITE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
Mailing address
6808 220TH ST SW, SUITE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60149881
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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