Female

Melanie Moeller LMP

Specialist in Bonney Lake, WA(View on Map)

Full Name

Melanie Moeller LMP

NPI Number

1063653277

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/18/2009

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MA60077018

Contact
Information

Purpose

Mailing
Location

Address

19950 S PRAIRIE RD E
19950 S PRAIRIE RD E

City

Bonney Lake
Bonney Lake

State

WA
WA

Postal Code

98391-7901
98391-7901

Country

US
US

Telephone Number

(253) 862-1555
(253) 862-1555

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2012

Provider Address

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