Individual
BRIANA LYNNE CORRIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7514 W YELLOWSTONE AVE, KENNEWICK, WA 99336-1101
(509) 783-7242
Mailing address
6830 W 1ST AVE APT F, KENNEWICK, WA 99336-1734
(509) 551-4192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60917855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000
N/A
WA
Enumeration date
11/18/2019
Last updated
11/18/2019
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