Individual
SHELLIE M. MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
376 RINGHOFF RD., BURBANK, WA 99323
(509) 460-9464
Mailing address
PO BOX 291, BURBANK, WA 99323-0291
(509) 460-9464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016942
WA
Other
Enumeration date
03/23/2007
Last updated
01/02/2008
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