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Individual

DANIELLE M MICHELETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1116 HWY 20, WINTHROP, WA 98862
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004941
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851319107
WA
01
P01590312
RR MEDICARE PTAN
WA
Enumeration date
07/17/2006
Last updated
07/26/2022
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