Individual
DIANNE HETLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3451 S 31ST ST, TACOMA, WA 98409-4826
(253) 381-7307
Mailing address
3451 S 31ST ST, TACOMA, WA 98409-4826
(253) 381-7307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA6076258
WA
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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