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Organization

BROOKE K. DANIELSON, LMP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE KRISTEN DANIELSON LMP (MASSAGE THERAPIST)
(360) 907-5144
Entity
Organization

Contact information

Practice address
615 SE CHKALOV DR, SUITE 7, VANCOUVER, WA 98683-5279
(360) 885-1767
(360) 885-1394
Mailing address
615 SE CHKALOV DR, SUITE 7, VANCOUVER, WA 98683-5279
(360) 885-1767
(360) 885-1394

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024065
WA

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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