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Jeff Sisco, LMP
NPI 1164631248 · on the registry since 2007 · sole proprietor
Practice
- Address
- 21157 State Route 410
Bonney Lake, WA 98390 - Phone
- (253) 862-8590
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington