Individual
BRENDA SUE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9501 STATE AVE STE A, MARYSVILLE, WA 98270-2235
(360) 651-8265
Mailing address
PO BOX 804, DARRINGTON, WA 98241-0804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018257
WA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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