Individual
MS. MICHELLE D DELKETTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2209 ELM ST STE 204, BELLINGHAM, WA 98225-2855
(509) 741-0716
Mailing address
PO BOX 615, DEMING, WA 98244-0615
(509) 741-0716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00025169
WA
Other
Enumeration date
02/25/2009
Last updated
01/06/2010
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