DERRIC K MATTESON

TACOMA, WA
NPI1881919082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: WA  MA60101907)
Enumeration Date2010-03-30
Last Update Date2010-03-30
Business Address
Mr. DERRIC K MATTESON LMP
8432 6TH AVE APT 4
TACOMA, WA 98465-1056
Phone number: 253-579-8664
Mailing Address
Mr. DERRIC K MATTESON LMP
8432 6TH AVE APT 4
TACOMA, WA 98465-1056
Phone number: 253-579-8664
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