Individual
MISS HEATHER A SIMINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
206 N MAIN AVE, SUITE 130, RIDGEFIELD, WA 98642-9394
(360) 448-5430
Mailing address
206 N MAIN AVE, SUITE 130, RIDGEFIELD, WA 98642-9394
(360) 448-5430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021803
WA
Other
Enumeration date
06/08/2007
Last updated
08/21/2007
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