Individual
BREANN MICHELE BOOHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6015 E MT SPOKANE PARK DR, MEAD, WA 99021-9468
(509) 465-7254
Mailing address
6015 E MT SPOKANE PARK DR, MEAD, WA 99021-9468
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160510329
WA
Other
Enumeration date
09/09/2014
Last updated
07/31/2017
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