Shayde Fickett

NPI #1124863030 in Kelso, Washington

Provider Information

NPI Number: 1124863030
Entity Type: Individual
Name: Shayde Fickett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Jul 1, 2024
Last Updated: Jul 1, 2024

Practice Location

Address: 600 ROYAL ST STE D
City: Kelso
State: Washington
ZIP Code: 98626-1167
Phone: (360) 423-1509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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