Individual
LARRI ANN MISHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP 00001626
WA
Other
Enumeration date
08/12/2006
Last updated
03/27/2013
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