Individual
SYLAS M DAUGHTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
19215 SE 34TH ST STE 102, CAMAS, WA 98607-8830
(360) 882-7733
Mailing address
19215 SE 34TH ST STE 102, CAMAS, WA 98607-8830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019786
WA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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