Dwaine Jeffrey Breed LMP

NPI 1144558214 - Massage Therapist - 225700000X

NPI Details
NPI 1144558214
Gender Male
Enumeration Date 11/30/2009
Last Updated 11/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
101 E MAIN ST
#201
MONROE WA, 98272-1519, US
Phone (360) 863-0642
Fax
Business Location
15515 JUANITA WOODINVILLE WAY NE
E-304
BOTHELL WA, 98011-1576, US
Phone (425) 328-9413
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA60116962
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According to our database, Dwaine Jeffrey Breed LMP NPI is 1144558214, taxonomy code is 225700000X and license number is MA60116962, license state is located at Washington. Dwaine Jeffrey Breed LMP physically located at 101 E Main St, Monroe WA, 98272-1519. NPI Number Dwaine Jeffrey Breed LMP has the Individual type.

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1144558214 NPI number is provided on an as is basis without warranty of any kind. 1144558214 is maintained by the National Plan & Provider Enumeration System. The contents of Dwaine Jeffrey Breed LMP are for informational purposes only.