Jacqueline Marie St Louis, LMP

NPI #1447507264 in Mill Creek, Washington

Provider Information

NPI Number: 1447507264
Entity Type: Individual
Name: Jacqueline Marie St Louis, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Aug 10, 2012
Last Updated: Aug 10, 2012

Practice Location

Address: 13510 N CREEK DR APT E414
City: Mill Creek
State: Washington
ZIP Code: 98012-2089
Phone: (425) 876-8253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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