BRIAN EDGE

LYNNWOOD, WA
NPI1306145644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60211133)
Enumeration Date2011-03-25
Last Update Date2011-03-25
Business Address
-- BRIAN EDGE LMP
4525 164TH ST SW # BB103
LYNNWOOD, WA 98087-8609
Phone number: 360-632-3710
Mailing Address
-- BRIAN EDGE LMP
PO BOX 14423
MILL CREEK, WA 98082-2423
Phone number: 360-632-3710