Individual
MELISSA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 COOPER POINT RD SW, SUITE A2, OLYMPIA, WA 98502-1104
(360) 970-3523
Mailing address
1616 DERBY LN SE, OLYMPIA, WA 98501-6895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60559270
WA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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