Individual
JAMIE C BRAYSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
205 CLARK PL SE, TUMWATER, WA 98501-4062
(360) 570-0401
Mailing address
205 CLARK PL SE, TUMWATER, WA 98501-4062
(360) 570-0401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17325
OR
174400000X
Specialist
Primary
B60326929
WA
Other
Enumeration date
07/27/2010
Last updated
02/20/2014
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