Individual
DAWN MICHELLE EVARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, EAMP
Contact information
Practice address
365 BUTLER AVE, MONROE, WA 98272-1527
(360) 805-1555
(360) 805-9029
Mailing address
365 BUTLER AVE, MONROE, WA 98272-1527
(360) 805-1555
(360) 805-9029
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60193058
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60193058
STATE LICENSE
WA
Enumeration date
12/08/2010
Last updated
12/08/2010
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