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Individual

IRMA BRISENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4820 NE HAZEL DELL AVE APT 712, VANCOUVER, WA 98663-3806
(360) 674-0757
Mailing address
4820 NE HAZEL DELL AVE APT 712, VANCOUVER, WA 98663-3806
(360) 674-0757

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC52921
WA

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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