Individual
MS. DINA MARIE PLOEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1505 NW GILMAN BLVD, SUITE 8, ISSAQUAH, WA 98027
(425) 313-9222
(425) 313-9339
Mailing address
14853 SE 113TH ST, RENTON, WA 98059-6007
(425) 531-1547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213837
L AND I
—
Enumeration date
05/01/2007
Last updated
07/08/2007
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