Individual
ALICIA EDWARDS BURGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLE
Contact information
Practice address
24605 E MOFFAT RD, NEWMAN LAKE, WA 99025-9488
(509) 226-0148
Mailing address
24605 E MOFFAT RD, NEWMAN LAKE, WA 99025-9488
(509) 226-0148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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