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Miss Alyssa Kayle Derrick, LMP
Specialist in Mukilteo, Washington
NPI 1306116736

Alyssa Kayle Derrick is a Specialist based in Lynnwood, WA. Alyssa Kayle Derrick practices in Mukilteo, WA and has the professional credentials of LMP. The NPI Number for Alyssa Kayle Derrick is 1306116736 and holds a License No. MA60253192 (Washington).

The current practice location address for Alyssa Kayle Derrick is 4803 84Th St Sw, Mukilteo, WA and can be reached out via phone at 425-290-6024.

Location: 4803 84Th St Sw, Mukilteo, WA, 98037-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306116736
Provider Name
Alyssa Kayle Derrick
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
4803 84Th St Sw, Mukilteo, WA, 98037-4325
Phone Number
425-290-6024
Fax Number
Provider Enumeration Date
01/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60253192 01 WA L.M.P.
institution
Provider Business Practice Location Address Details
Address
4803 84Th St Sw
City
Mukilteo
State
Washington
Zip
98275-3023
Phone Number
425-290-6024
Fax Number
person
Provider Business Mailing Address Details
Address
4803 84Th St Sw
City
Mukilteo
State
Washington
Zip
98275-3023
Phone Number
425-290-6024
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60253192 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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