Individual
MICHELE DEROUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
502 50TH ST SE, AUBURN, WA 98092-9499
(808) 398-9105
Mailing address
502 50TH ST SE, AUBURN, WA 98092-9499
(808) 398-9105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015655
WA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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