Individual
VANESSA RHEANAL BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14207 C ST S APT B51, TACOMA, WA 98444-4598
(253) 217-7035
Mailing address
14207 C ST S APT B51, TACOMA, WA 98444-4598
(253) 217-7035
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
604430561
WA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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