Individual
LYRIC G SISTERHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7823 BOX ELDER DR SW, OLYMPIA, WA 98512-2326
(360) 362-9513
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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