Individual
MELISSA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6945 LITTLEROCK RD SW, TUMWATER, WA 98512-7246
(360) 915-3221
Mailing address
16137 TILLEY RD S, TENINO, WA 98589-9211
(253) 389-1794
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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