Individual
RYAN LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 W MARKET ST, ABERDEEN, WA 98520-6016
(360) 669-3966
Mailing address
618 W MARKET ST, ABERDEEN, WA 98520-6016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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