Individual
MRS. CARRIE DENICE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9111 346TH ST S, SUITE 3, ROY, WA 98580
(360) 400-2002
(360) 400-2004
Mailing address
PO BOX 1370, MCKENNA, WA 98558-1370
(360) 400-2002
(360) 400-2004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013880
WA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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