Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00024846 | WA |
NPI | 1003084559 |
---|---|
Provider Name | Rhonda Jean Dundon |
First Address | Spokane Valley, WA 99037 |
Second Address | Spokane Valley, WA 99037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 21/09/2017 |