Individual
MELISSA BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3806 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 666-6208
(253) 666-6209
Mailing address
3806 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 666-6208
(253) 666-6209
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 60104593
WA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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