Individual
CONSTANCE JEAN GURTISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 JADWIN AVE, SUITE E, RICHLAND, WA 99352-4255
(509) 420-6286
Mailing address
5225 W CLEARWATER AVE, APT E9, KENNEWICK, WA 99336-1962
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60024922
WA
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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