Individual
DAVID JAMES MISSLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2641 WILLAMETTE DR NE STE A, LACEY, WA 98516-1360
(360) 548-8995
Mailing address
15150 SUNWOOD BLVD, TUKWILA, WA 98188-2446
(209) 380-8943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61481382
WA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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