Individual
ANDREW JOEL GULBRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
SE 1061 HWY 3, SHELTON, WA 98584-9195
(360) 427-7461
Mailing address
SE 1061 HWY 3, SHELTON, WA 98584-9195
(360) 427-7461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22931
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221143
STATE L AND I
WA
Enumeration date
12/19/2007
Last updated
12/19/2007
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