Individual
MADELINE DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30313 118TH AVE SE, AUBURN, WA 98092-2046
(360) 825-6525
Mailing address
30313 118TH AVE SE, AUBURN, WA 98092-2046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61354163
WA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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