Individual
CAROLYN JEANNETTE BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MESSAGE THERAPIST-LI
Contact information
Practice address
814 EAST 5TH AVENUE, ELLENSBURG, WA 98926
(509) 929-1200
Mailing address
814 EAST 5TH AVENUE, ELLENSBURG, WA 98926
(509) 929-1200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
602880736
WA
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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