Individual
BRENDA JEAN HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7976 KICKERVILLE RD, BLAINE, WA 98230-9249
(360) 927-7250
Mailing address
7976 KICKERVILLE RD, BLAINE, WA 98230-9249
(360) 927-7250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60399983
WA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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