Individual
AUDRIANNA LYNN ROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15814 NE 182ND AVE, BRUSH PRAIRIE, WA 98606-9701
(360) 433-2629
Mailing address
32403 NE KELLY RD, YACOLT, WA 98675-3603
(360) 901-9341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60614563
WA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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