Individual
ERICA BRUYAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7700 NE GREENWOOD DR STE 120, VANCOUVER, WA 98662-6843
(360) 573-1933
Mailing address
4717 NE 126TH AVE, VANCOUVER, WA 98682-6437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6086364
WA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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