Individual
RIKKI MIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27606 PACIFIC HWY S, FEDERAL WAY, WA 98003-3402
(509) 200-8276
Mailing address
27606 PACIFIC HWY S, FEDERAL WAY, WA 98003-3402
(509) 200-8276
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
08/21/2015
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