Individual
MS. BRENDA LYNN SURERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BPE LMP
Contact information
Practice address
109 BINGHAMPTON STREET W, SUITE A, RAINIER, WA 98576
(360) 446-0116
Mailing address
PO BOX 512, RAINIER, WA 98576
(360) 446-0116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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