Individual
DENAE BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 LACEY BLVD SE, LACEY, WA 98503-5733
(360) 561-0171
(360) 915-7857
Mailing address
4804 LACEY BLVD SE, LACEY, WA 98503-5733
(360) 561-0171
(360) 915-7857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022858
WA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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