Individual
BRENT GARRETT ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 807-2474
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 807-2474
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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