Individual
MS. MAURA (MARY) ANGELA VAN NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
27516 NE 116TH ST, DUVALL, WA 98019-9609
(425) 788-9249
(425) 788-7319
Mailing address
PO BOX 866, DUVALL, WA 98019-0866
(425) 788-9249
(425) 788-7319
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
WA MASSAGELIC#007892
WA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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