Individual
MR. DE LI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MR
Contact information
Practice address
303NE 103RD ST, VANCOUVER, WA 98685
(360) 281-4206
Mailing address
303 NE 103RD ST, VANCOUVER, WA 98685-5314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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