Provider Demographics
NPI:1023345394
Name:COMESLAST, DANA MICHELLE JEAN (ND)
Entity type:Individual
Prefix:DR
First Name:DANA MICHELLE
Middle Name:JEAN
Last Name:COMESLAST
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29218 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:WA
Mailing Address - Zip Code:98580-8544
Mailing Address - Country:US
Mailing Address - Phone:253-219-4546
Mailing Address - Fax:
Practice Address - Street 1:29218 3RD AVE S
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:WA
Practice Address - Zip Code:98580-8544
Practice Address - Country:US
Practice Address - Phone:253-219-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-07
Last Update Date:2009-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60113312175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath