Individual
TERI A BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1060 HUDSON ST, LONGVIEW, WA 98632-3103
(360) 423-2037
(360) 423-9320
Mailing address
1060 HUDSON ST, LONGVIEW, WA 98632-3103
(360) 423-2037
(360) 423-9320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60126532
WA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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