Individual
SHYLA CULPEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1223 17TH AVE, LONGVIEW, WA 98632-2905
(360) 353-5375
Mailing address
2107 36TH AVE, LONGVIEW, WA 98632-4756
(360) 442-1047
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
60533822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60533822
LMP
WA
Enumeration date
02/27/2017
Last updated
02/27/2017
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