DERRIK WHITE

VANCOUVER, WA
NPI1386310167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA61156998)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
DERRIK WHITE
3407 NE 103RD AVE
VANCOUVER, WA 98662-7583
Phone number: 360-553-6396
Mailing Address
DERRIK WHITE
3407 NE 103RD AVE
VANCOUVER, WA 98662-7583
Phone number: 360-553-6396