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Individual

BRANDY L BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
8411 110TH STREET CT E, PUYALLUP, WA 98373-6002
(206) 940-7226
(253) 826-8180
Mailing address
8411 110TH STREET CT E, PUYALLUP, WA 98373-6002
(206) 940-7226
(253) 826-8180

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018865
WA

Other

Enumeration date
04/25/2007
Last updated
12/29/2011
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