Individual
BRANDI MARIE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1146 COMMERCE AVE, LONGVIEW, WA 98632-3025
(360) 577-6956
Mailing address
1146 COMMERCE AVE, LONGVIEW, WA 98632-3025
(360) 577-6956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60060121
WA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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