Individual
DIANE M GULBRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1016 N SUPERIOR ST, FRANCIS HOUSE, SUITE 10, SPOKANE, WA 99202-2059
(509) 999-2472
Mailing address
1015 E COZZA DR APT 93, SPOKANE, WA 99208-6658
(509) 999-2472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA7508
WA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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