Individual
MRS. MELINDA CAROLYN TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
162 S MAIN ST, COLVILLE, WA 99114-2406
(509) 684-1420
(509) 684-1419
Mailing address
162 S MAIN ST, COLVILLE, WA 99114-2406
(509) 684-1420
(509) 684-1419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013765
WA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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