Individual
MRS. MELISSA BERNADETTE BRANDON-DOERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 WILLIAM WAY STE A, MOUNT VERNON, WA 98273-2500
(360) 424-8115
(360) 428-0104
Mailing address
1601 WILLIAM WAY STE A, MOUNT VERNON, WA 98273-2500
(360) 424-8115
(360) 428-0104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012739
WA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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