Individual
DARIAN AMBROS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
4775 BALLARD AVE NW, SEATTLE, WA 98107-4810
(206) 778-0063
Mailing address
4775 BALLARD AVE NW, SEATTLE, WA 98107-4810
(206) 778-0063
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014583
WA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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