Mary Van De Ven, L.M.P.
NPI #1245494400 in Des Moines, Washington
Provider Information
- NPI Number
- 1245494400
- Entity Type
- Individual
- Name
- Mary Van De Ven, L.M.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- L.M.P.
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Jul 16, 2008
Practice Location
- Address
- 23619 14TH AVE S
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-7402
- Phone
- (206) 878-1892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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