Individual
MISS MELODY E NORWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2607 BRIDGEPORT WAY W, SUITE1-D, UNIVERSITY PLACE, WA 98466-4700
(253) 564-6747
(253) 566-9104
Mailing address
2607 BRIDGEPORT WAY W, SUITE1-D, UNIVERSITY PLACE, WA 98466-4700
(253) 564-6747
(253) 566-9104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016792
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217989
L&I
WA
Enumeration date
07/20/2007
Last updated
07/20/2007
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