Individual
MR. BRANDON WALTER BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
731 GAGE BLVD, RICHLAND, WA 99352-9701
(509) 737-1461
Mailing address
400 GOETHALS DR, RICHLAND, WA 99352-4326
(509) 947-4090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60206550
WA
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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