Individual
STEVEN J MONGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
117 S. CHELAN ST., WATERVILLE, WA 98858
(509) 745-8447
Mailing address
101 MISSION VIEW PL, CASHMERE, WA 98815-9619
(509) 884-5719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00006840
WA
Other
Enumeration date
05/31/2006
Last updated
09/12/2016
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