Individual
DIANA KAY MOKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
2318 120TH ST E, TACOMA, WA 98445-3604
(253) 304-7522
Mailing address
2318 120TH ST E, TACOMA, WA 98445-3604
(253) 304-7522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60073317
WA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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