Individual
BREA ANN WRZESINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60771416
Contact information
Practice address
9623 32ND ST SE, LAKE STEVENS, WA 98258-5779
(360) 854-8547
Mailing address
PO BOX 3478, 3609 168TH ST NE, ARLINGTON, WA 98223-3478
(360) 854-8547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60771416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60771416
MASSAGE THERAPY LICENSE
WA
Enumeration date
11/13/2017
Last updated
11/13/2017
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