Individual
MRS. JENNIFER LYNN MELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15308 CASCADIAN WAY, LYNNWOOD, WA 98087-2136
(425) 743-9731
(425) 918-1418
Mailing address
15308 CASCADIAN WAY, LYNNWOOD, WA 98087-2136
(425) 743-9731
(425) 918-1418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00000949
WA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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