Individual
LISA ANN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6682
(206) 257-6827
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6682
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60166780
WA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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