Individual
LISA HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5703 IDAHO ST, VANCOUVER, WA 98661-6904
(360) 993-3168
(360) 737-3451
Mailing address
5703 IDAHO ST, VANCOUVER, WA 98661-6904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60278358
WA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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