Individual
MS. MARCELL MARIE LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-5725
(360) 878-8248
Mailing address
1902 HANOVER DR SE, LACEY, WA 98503-2876
(907) 227-5187
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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