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Individual

RICHARD L DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
209 FERRY ST, STE 'C', SEDRO WOOLLEY, WA 98284-1462
(360) 855-1207
Mailing address
PO BOX 272, SEDRO WOOLLEY, WA 98284-0272
(360) 855-1200

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2075
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214102
LABOR & INDUSTRIES
WA
Enumeration date
10/04/2007
Last updated
10/04/2007
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