Renee Charise Probst, LMP
NPI #1114066990 in University Place, Washington
Provider Information
- NPI Number
- 1114066990
- Entity Type
- Individual
- Name
- Renee Charise Probst, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Jan 30, 2012
Practice Location
- Address
- 4103 BRIDGEPORT WAY W STE C
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4332
- Phone
- (253) 460-1824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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