Organization
BRUNCUSO PROPERTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALBERT BRUNNER (PRESIDENT)
(425) 390-9425
Entity
Organization
Contact information
Practice address
23745 225TH WAY SE STE 201, MAPLE VALLEY, WA 98038-5294
(425) 390-9425
Mailing address
1002 THOMPSON ST, SUMNER, WA 98390-1314
(425) 390-9425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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