BRENDA LYNN BLACK

MILL CREEK, WA
NPI1871681130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
BRENDA LYNN BLACK AT,C
1508 136TH ST SE
MILL CREEK, WA 98012-5310
Phone number: 425-385-7038
Mailing Address
BRENDA LYNN BLACK AT,C
24205 54TH AVE W
MOUNTLAKE TERRACE, WA 98043-5515
Phone number: 425-697-2453
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