Individual
BRANDI GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2612 W DENISON RD, DEER PARK, WA 99006-9382
(509) 993-2330
Mailing address
2612 W DENISON RD, DEER PARK, WA 99006-9382
(509) 993-2330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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