Individual
BETHANY BUSLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 NE 86TH AVE, VANCOUVER, WA 98662-3280
(360) 784-9404
Mailing address
6500 NE 86TH AVE, VANCOUVER, WA 98662-3280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61532422
WA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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