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Individual

DAVID RYAN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
11700 MUKILTEO SPEEDWAY, SUITE 503, MUKILTEO, WA 98275-5432
(425) 349-9692
(425) 349-9694
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022359
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0222411
DEPT OF L&I
WA
01
2358WH
REGENCE BS
WA
01
3253WH
REGENCE BS
WA
01
8794WH
REGENCE BS
WA
01
8944930
L&I CRIME VICTIMS
WA
01
9257059
AETNA/WHOLE HEALTH
WA
Enumeration date
06/12/2007
Last updated
09/14/2007
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