Individual
BRIANNA WHITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 N PEARL ST, #A4, TACOMA, WA 98406-2461
(253) 761-0930
(253) 625-7642
Mailing address
1919 N PEARL ST, #A4, TACOMA, WA 98406-2461
(253) 761-0930
(253) 625-7642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60328074
WA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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