Individual
DIANE KELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMP
Contact information
Practice address
211 W HILL ST, MONROE, WA 98272-1404
(360) 794-6620
Mailing address
211 W HILL ST, MONROE, WA 98272-1404
(360) 794-6620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60400339
WA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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