Individual
BRANDI DIANE LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2681 WASHINGTON ST, MANSON, WA 98831-9546
(506) 970-8708
Mailing address
2681 WASHINGTON ST, MANSON, WA 98831-9546
(506) 970-8708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
51449306
WA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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