Individual
MRS. ALYSSA MARIE LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
108 SE 124TH AVE, SUITE 7, VANCOUVER, WA 98684-6015
(503) 449-4138
Mailing address
108 SE 124TH AVE, SUITE 7, VANCOUVER, WA 98684-6015
(503) 449-4138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60074053
WA
Other
Enumeration date
02/05/2009
Last updated
01/10/2012
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