Individual
BREYANE SHAWNEEN SCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 LAKE DR APT 33, MARINA, CA 93933-2844
(509) 713-9678
Mailing address
PO BOX 1157, MARINA, CA 93933-1157
(509) 713-9677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80954
CA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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