Corrine Dejong, LMP

NPI #1811107238 in Lynden, Washington

Provider Information

NPI Number: 1811107238
Entity Type: Individual
Name: Corrine Dejong, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1103 EAST GROVER ST
Address 2: STE B
City: Lynden
State: Washington
ZIP Code: 98264-9422
Phone: (360) 318-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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