Individual
MS. BRISEYDA MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
511 W WYANDOTTE AVE, SHELTON, WA 98584-2359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110056825974
—
WA
Enumeration date
04/22/2022
Last updated
04/22/2022
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