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Individual

BRENNA JANE BUCKWALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4250 FREMONT AVE N, SEATTLE, WA 98103-9221
(303) 408-2414
Mailing address
3452 35TH AVE W, SEATTLE, WA 98199-1667
(303) 408-2414

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61420329
WA

Other

Enumeration date
04/27/2023
Last updated
04/27/2023
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