Individual
BRIAN D ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
101 E MAIN ST, SUITE 201, MONROE, WA 98272-1519
(360) 863-0642
(360) 794-7236
Mailing address
340 26TH AVE, SEATTLE, WA 98122-6118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019838
WA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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