Individual
VANESSA LAYNE BRIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
3663 COLLEGE ST SE STE F, LACEY, WA 98503-2303
(360) 870-1288
Mailing address
3821 INGLESIDE DRIVE SE, LACEY, WA 98503
(360) 870-1288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021042
WA
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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