Individual
DANIEL LEE LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 W STATE ST, ABERDEEN, WA 98520-6139
(360) 612-3839
(360) 591-2246
Mailing address
403 W STATE ST, ABERDEEN, WA 98520-6139
(360) 612-3839
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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