Individual
MS. DIANA FRANCES WAUD-BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP,LMT
Contact information
Practice address
1901 SE 283RD AVE, CAMAS, WA 98607-9509
(360) 834-7621
Mailing address
1901 SE 283RD AVE, CAMAS, WA 98607-9509
(360) 834-7621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60213795
WA
Other
Enumeration date
05/24/2011
Last updated
01/15/2014
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