Individual
MR. DUSTIN M BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP, CMT
Contact information
Practice address
108 SE 124TH AVE, STE. 18, VANCOUVER, WA 98684-6015
(360) 713-7437
Mailing address
108 SE 124TH AVE, STE. 18, VANCOUVER, WA 98684-6015
(360) 713-7437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019889
WA
Other
Enumeration date
05/22/2007
Last updated
03/17/2009
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