Individual
MISS ERIN KATHLEEN BROUHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12504 NW 36TH AVE, VANCOUVER, WA 98685-2227
(360) 573-5611
Mailing address
907 NW 87TH ST, VANCOUVER, WA 98665-6921
(360) 574-0085
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021238
WA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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