Individual
MRS. BRANDY NICOLE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
104 23RD AVE SE, PUYALLUP, WA 98372-4527
(253) 389-4397
Mailing address
104 23RD AVE SE, PUYALLUP, WA 98372-4527
(253) 389-4397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60023758
WA
Other
Enumeration date
07/02/2008
Last updated
02/12/2021
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