BRIAN DANIEL GROSS

LAKE STEVENS, WA
NPI1265839823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60438589)
Enumeration Date2014-11-25
Last Update Date2014-11-25
Business Address
-- BRIAN DANIEL GROSS LMP
12506 18TH ST NE
LAKE STEVENS, WA 98258-8145
Phone number: 425-334-5409
Mailing Address
-- BRIAN DANIEL GROSS LMP
12506 18TH ST NE
LAKE STEVENS, WA 98258-8145
Phone number: 425-334-5409
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