Michaela Debono, LMP

NPI #1659677672 in Tumwater, Washington

Provider Information

NPI Number: 1659677672
Entity Type: Individual
Name: Michaela Debono, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Feb 9, 2011
Last Updated: Feb 9, 2011

Practice Location

Address: 509 CUSTER WAY SE
City: Tumwater
State: Washington
ZIP Code: 98501-3332
Phone: (360) 489-0635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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