Individual
MELYNDA BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3132 41ST WAY SE, OLYMPIA, WA 98501-6217
(360) 951-0760
Mailing address
3132 41ST WAY SE, OLYMPIA, WA 98501-6217
(360) 951-0760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60191724
WA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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