BRIAN LEE WILSON

VANCOUVER, WA
NPI1780931329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA60293278)
Enumeration Date2012-08-14
Last Update Date2012-08-14
Business Address
-- BRIAN LEE WILSON LMP
1840 NE 104TH LOOP #7
VANCOUVER, WA 98686-5676
Phone number: 360-609-0641
Mailing Address
-- BRIAN LEE WILSON LMP
1840 NE 104TH LOOP #7
VANCOUVER, WA 98686-5676
Phone number: 360-609-0641