Individual
BRYN BEZONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7056 PORTAL WAY # R7, FERNDALE, WA 98248-8310
(360) 366-4216
(360) 366-4241
Mailing address
PO BOX 91, CUSTER, WA 98240-0091
(360) 366-4216
(360) 366-4241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60404014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60404014
WA STATE MASSAGE LICENSE NUMBER
WA
Enumeration date
09/01/2013
Last updated
09/01/2013
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