Individual
BRENDA MICHELE HUGHBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 60040625
Contact information
Practice address
4130 A GARDEN SPOT RD., LOON LAKE, WA 99148
(509) 233-8660
Mailing address
4130 A GARDEN SPOT RD., PO BOX 442, LOON LAKE, WA 99148
(509) 233-8660
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA 60040625
WA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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