Individual
MS. DIANNE ALLENE SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5410 CALIFORNIA AVE SW, ST.E 203, SEATTLE, WA 98136-1562
(206) 331-3999
Mailing address
8416 37TH AVE SW, SEATTLE, WA 98126-3613
(206) 617-0548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60070702
WA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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