Individual
BRIANA LARISSA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
5971 PENNSYLVANIA ST SE, LACEY, WA 98513
(360) 813-8238
Mailing address
5971 PENNSYLVANIA ST SE, LACEY, WA 98513
(360) 813-8238
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
CM60713934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM60713934
NATIONAL CERTIFIED MEDICAL ASSISTANT
WA
Enumeration date
06/15/2021
Last updated
06/15/2021
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