Individual
BRENDA KAY SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1528 SW 166TH ST, BURIEN, WA 98166-3438
(206) 384-3368
Mailing address
600 1ST AVE, SUITE 231, SEATTLE, WA 98104-2216
(206) 384-3368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019884
WA
376K00000X
Nurse's Aide
CN60115113
WA
Other
Enumeration date
09/19/2008
Last updated
05/09/2011
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