Individual
DWYNE A. NYLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
918 SE 164TH AVE., STE. 3, VANCOUVER, WA 98684
(360) 253-9482
(360) 253-5366
Mailing address
918 SE 164TH AVE., STE. 3, VANCOUVER, WA 98684
(360) 253-9482
(360) 253-5366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015207
WA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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