Individual
DAVID EDWARD WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
101 E MAIN ST STE 201, MONROE, WA 98272-1519
(360) 421-8100
Mailing address
101EAST MAIN STREET SUITE 201, MONROE, WI 98272
(360) 421-8100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60263726
WA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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