Individual
SHIRLA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RVT/RDCS
Contact information
Practice address
3705 S MOLTER RD, LIBERTY LAKE, WA 99019
(509) 435-6363
Mailing address
P.O. BOX 385, 3705 S MOLTER RD, LIBERTY LAKE, WA 99019
(509) 435-6363
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
54153
WA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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