Individual
MICHELLE CORDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373-5786
(253) 256-4769
(253) 268-2057
Mailing address
11234 171ST ST E, PUYALLUP, WA 98374-6512
(253) 312-6201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60510469
WA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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