Individual
BRIELLE NICOLE DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E 19TH ST STE 500, VANCOUVER, WA 98663-3385
(503) 839-0114
Mailing address
100 E 19TH ST STE 500, VANCOUVER, WA 98663-3385
(503) 839-0114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61142974
WA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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