Individual
DUSTIN LANCE HASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4425 ISSAQUAH PINE LAKE RD SE APT G32, SAMMAMISH, WA 98075-6249
(425) 659-3456
Mailing address
4425 ISSAQUAH PINE LAKE RD SE APT G32, SAMMAMISH, WA 98075-6249
(212) 203-6110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61080499
WA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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