Individual
MS. BRENDA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
824 S 28TH ST, TACOMA, WA 98409-8105
(253) 226-6243
Mailing address
6602 54TH STREET CT W, UNIVERSITY PLACE, WA 98467-2216
(253) 226-6243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024126
WA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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