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Individual

MELISSA DAWN GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
14692 179TH AVE SE, SUITE 400, MONROE, WA 98272-1198
(360) 863-0960
(360) 863-8710
Mailing address
14692 179TH AVE SE, SUITE 400, MONROE, WA 98272-1198
(360) 863-0960
(360) 863-8710

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00024836
WA

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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