Individual
MR. DARREN K TAKESHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
211 WEST HILL STREET, MONROE, WA 98272
(360) 794-6620
(360) 794-9863
Mailing address
211 WEST HILL STREET, MONROE, WA 98272
(360) 794-6620
(360) 794-9863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023959
WA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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