Individual
DARCI M DUSPIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11042 SR 525 # SUIET106, CLINTON, WA 98236-8618
(360) 341-1299
Mailing address
5834 S BAYVIEW RD, CLINTON, WA 98236
(360) 969-1051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
602 889 889
WA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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