Individual
SADIE LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11516 SE MILL PLAIN BLVD STE 2C, VANCOUVER, WA 98684-5082
(360) 253-6674
Mailing address
11516 SE MILL PLAIN BLVD STE 2C, VANCOUVER, WA 98684-5082
(360) 253-6674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60317746
WA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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