Individual
BRENDA JEAN BILLMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9581 OLD OLYMPIC HWY, SEQUIM, WA 98382-3099
(360) 460-5299
Mailing address
PO BOX 1296, SEQUIM, WA 98382-1296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00018656
LMP
WA
Enumeration date
11/07/2006
Last updated
04/03/2017
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