Individual
KAMME BRUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3791 RIVER RD N STE E, KEIZER, OR 97303-4824
(812) 470-5610
Mailing address
5480 MCLEOD LN NE APT 204, KEIZER, OR 97303-2335
(812) 470-5610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24305
OR
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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