Individual
BRENDA M WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1901 GEORGE WASHINGTON WAY SUITE E, RICHLAND, WA 99354-2382
(509) 430-2790
Mailing address
1901 GEORGE WASHINGTON WAY SUITE E, RICHLAND, WA 99354-2382
(509) 371-9127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009334
WA
Other
Enumeration date
02/18/2013
Last updated
05/17/2023
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