Individual
MARY AGNES DEBROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6522 208TH ST SW APT L4, LYNNWOOD, WA 98036-8549
(425) 678-1390
Mailing address
6522 208TH ST SW APT L4, LYNNWOOD, WA 98036-8549
(719) 964-4543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128334
WA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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