Lissa C Daimaru-enoki M.D.

NPI 1083699078 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1083699078
Gender Female
Enumeration Date 12/13/2005
Last Updated 08/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
14406 NE 20TH AVE
VANCOUVER WA, 98686-1448, US
Phone (360) 571-4244
Fax (360) 571-4246
Business Location
14406 NE 20TH AVE
VANCOUVER WA, 98686-1448, US
Phone (360) 571-4244
Fax (520) 219-5780
Toxanomy
Taxonomy Code 207V00000X
License State Arizona
License Number 32929
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According to our database, Dr. Lissa C Daimaru-enoki M.D. NPI is 1083699078, taxonomy code is 207V00000X and license number is 32929, license state is located at Arizona. Lissa C Daimaru-enoki M.D. physically located at 14406 Ne 20th Ave, Vancouver WA, 98686-1448. NPI Number Lissa C Daimaru-enoki M.D. has the Individual type.

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1083699078 NPI number is provided on an as is basis without warranty of any kind. 1083699078 is maintained by the National Plan & Provider Enumeration System. The contents of Lissa C Daimaru-enoki M.D. are for informational purposes only.