Individual
ELANA MARIE BRASSARD-KUFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30741 3RD AVE STE 120, BLACK DIAMOND, WA 98010-9791
(360) 886-5492
Mailing address
2786 OLIE ANN PL, ENUMCLAW, WA 98022-5041
(253) 797-3682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.60303938
WA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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