Individual
BRIANNA BEREZOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 19TH AVE E, SEATTLE, WA 98112-3503
(360) 593-5210
Mailing address
934 19TH AVE E, SEATTLE, WA 98112-3503
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60449660
WA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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