Individual
MARY L BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, RN
Contact information
Practice address
3620 W 12TH AVE, KENNEWICK, WA 99338-2111
(509) 430-7946
(888) 621-8252
Mailing address
3620 W 12TH AVE, KENNEWICK, WA 99338-2111
(509) 430-7946
(888) 621-8252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00123539
WA
225700000X
Massage Therapist
MA12644
WA
Other
Enumeration date
03/31/2007
Last updated
01/21/2014
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