Individual
MRS. BRENDA Q MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1104 MAIN ST, SUITE #105, VANCOUVER, WA 98660
(360) 931-3867
Mailing address
1104 MAIN ST, SUITE 105, VANCOUVER, WA 98660-2999
(360) 931-3867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60250697
WA
Other
Enumeration date
04/11/2012
Last updated
06/05/2013
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