Individual
MRS. DIANE CARI MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12504 NW 36TH AVE, VANCOUVER, WA 98685-2227
(360) 573-5611
Mailing address
217 BOZARTH HEIGHTS RD, WOODLAND, WA 98674-9217
(360) 225-4807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011518
WA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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