Individual
BRYNNA JILL BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
588 E CHEWUCH RD, WINTHROP, WA 98862-9886
(360) 790-5590
(360) 790-5590
Mailing address
579 EASTSIDE CHEWUCH RD, WINTHROP, WA 98862-9735
(360) 790-5590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60822983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60822983
MASSAGE THERAPIST
WA
Enumeration date
02/09/2018
Last updated
02/09/2018
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