Michele Derouin, LMP

NPI #1225434160 in Auburn, Washington

Provider Information

NPI Number: 1225434160
Entity Type: Individual
Name: Michele Derouin, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Nov 4, 2014
Last Updated: Nov 4, 2014

Practice Location

Address: 502 50TH ST SE
City: Auburn
State: Washington
ZIP Code: 98092-9499
Phone: (808) 398-9105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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