Individual
BROOKE ABRIANNA KATHLEEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 E C ST, DEER PARK, WA 99006-6055
(509) 464-9253
Mailing address
PO BOX 2288, DEER PARK, WA 99006-2288
(509) 464-9253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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