Individual
ALYCIA O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 W 27TH ST, VANCOUVER, WA 98660-2107
(415) 624-4012
Mailing address
609 W 27TH ST, VANCOUVER, WA 98660-2107
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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