Individual
MRS. BRYANA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5610 176TH ST E STE D105, PUYALLUP, WA 98375-9305
(253) 271-6750
Mailing address
12113 122ND ST E APT 17, PUYALLUP, WA 98374-5288
(520) 425-0693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60795235
WA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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