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Alicia Dolan
NPI 1710443577 · on the registry since 2019
Practice
- Address
- 400 29th St Ne
Puyallup, WA 98372 - Phone
- (253) 840-4400
- Organisation at this address
- Revera (Delaware) Llc
400 29th Street Northeast Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 4160 Glenwillow Dr, Hamburg, NY
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- VA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-30
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