Individual
BRIANNA MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
134 KEENE RD, RICHLAND, WA 99352-8683
(509) 628-9966
(509) 628-9976
Mailing address
134 KEENE RD, RICHLAND, WA 99352-8683
(509) 628-9966
(509) 628-9976
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60414905
WA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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