Individual
BRENDA L. SEGUIRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5233 DEERFIELD PARK CT NE, OLYMPIA, WA 98516-2131
(360) 438-8199
Mailing address
5233 DEERFIELD PARK CT NE, OLYMPIA, WA 98516-2131
(360) 438-8199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00010140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SE5442
REGENCE RIDER NUMBER
WA
Enumeration date
03/07/2007
Last updated
07/08/2007
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