Individual
MIKELLE MARIE LEGGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
611 LEHMAN DR, CAMANO ISLAND, WA 98282-7515
(425) 315-2607
Mailing address
611 LEHMAN DR, CAMANO ISLAND, WA 98282-7515
(425) 315-2607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022398
WA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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