Individual
MS. MARRIAH KAY BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3514 U ST, VANCOUVER, WA 98663-2571
(360) 560-1195
Mailing address
3514 U ST, VANCOUVER, WA 98663-2571
(360) 560-1195
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60681608
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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