Individual
BIANCA FERNANDEZ GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NAC
Contact information
Practice address
4339 W KENNEWICK AVE, KENNEWICK, WA 99336-2802
(509) 735-0311
(509) 783-1206
Mailing address
4339 W KENNEWICK AVE, KENNEWICK, WA 99336-2802
(509) 735-0311
(509) 783-1206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61228534
WA
376K00000X
Nurse's Aide
NC60976611
WA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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