Individual
LISA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 RUCKER AVE, 106, EVERETT, WA 98201-3900
(425) 252-8816
(425) 339-8707
Mailing address
3020 RUCKER AVE, 106, EVERETT, WA 98201-3900
(425) 252-8816
(425) 339-8707
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
HC00155173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC00155173
HEALTH CARE ASSISTANT
WA
Enumeration date
01/20/2009
Last updated
01/20/2009
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