Individual
BRYCE TANNER CRONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
13701 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0811
(509) 922-5585
(509) 927-7336
Mailing address
13701 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0811
(509) 922-5585
(509) 927-7336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60449400
WA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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