Individual
BRIANA MARIE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2717 N WINNIFRED ST, TACOMA, WA 98407-2404
(206) 669-9005
Mailing address
2717 N WINNIFRED ST, TACOMA, WA 98407-2404
(206) 669-9005
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60139504
WA
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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