Individual
JACQUELINE MARIE ST LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13510 N CREEK DR APT E414, MILL CREEK, WA 98012-2089
(425) 876-8253
Mailing address
13510 N CREEK DR APT E414, MILL CREEK, WA 98012-2089
(425) 876-8253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60097058
WA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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