DONOVAN SHANE LAVERGNE

SEATTLE, WA
NPI1154563310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60041587)
Enumeration Date2009-04-01
Last Update Date2009-04-01
Business Address
Mr. DONOVAN SHANE LAVERGNE LMP
10021 HOLMAN RD NW
SEATTLE, WA 98177-4920
Phone number: 206-632-8300
Mailing Address
Mr. DONOVAN SHANE LAVERGNE LMP
10021 HOLMAN RD NW
SEATTLE, WA 98177-4920
Phone number: 206-632-8300