Individual
RICHELLE RUTH LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 1ST AVE N, ILWACO, WA 98624-9137
(360) 261-6930
Mailing address
152 1ST AVE N, ILWACO, WA 98624-9137
(360) 261-6930
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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