Individual
STEPHANIE MARIE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
211 W HILL ST, MONROE, WA 98272-1404
(360) 794-6620
Mailing address
211 W HILL ST, MONROE, WA 98272-1404
(360) 794-6620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60059691
WA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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