Individual
MRS. DIANA MIRIAM COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
517 NE 85TH CIR, VANCOUVER, WA 98665
(360) 635-1894
Mailing address
517 NE 85TH CIR, VANCOUVER, WA 98665-8164
(360) 635-1894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019068
WA
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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