Individual
MELISSA D. SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15220 SE 272ND ST, SUITE G, KENT, WA 98042-4241
(253) 630-6768
Mailing address
26225 164TH PL SE, COVINGTON, WA 98042-5836
(206) 245-5481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021873
WA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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