Individual
BRYAN DWIGHT DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2924 N 14TH ST, TACOMA, WA 98406-6906
(253) 365-5033
Mailing address
2924 N 14TH ST, TACOMA, WA 98406-6906
(253) 365-5033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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